c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Congenital Diaphragmatic Hernia Repair: 13

A D V E R T I S E M E N T

   
 

In this case, the defect was not too large; it was closed primarily with interrupted, permanent sutures.       

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Congenital Diaphragmatic Hernia Repair: 14

A D V E R T I S E M E N T

   
 

A close-up of the repair.       

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Congenital Diaphragmatic Hernia Repair: 15

A D V E R T I S E M E N T

   
 

Larger defects may require a prosthetic patch as shown here. A patch, or silo, may also be required to close the abdominal wall as all the abdominal viscera brought down from the thoracic cavity may not immediately fit in the abdominal cavity. This is called loss of domain in the abdomen. The scaphoid appearance of the abdomen (small and hollow) in these children is a clinical sign of CDH.      

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This page was last modified on 3/15/1999.