Doctor insights on:
Congenital Diaphragm Hernia Alone Will
Definitely not: These always require repair.Get a more detailed answer ›
Do mixed/rolling hiatal hernia come and go like sliding hernias or do they stay up the diaphragm? Diag. hh, pain everyday/nothing helps
Yes they do: Both have similar mechanisms. Sounds like time for a Lap Nissen ...Read more
Yes: If big enough can cause restriction on the respective lung. ...Read more
Is a hiatal hernia the same as a diaphragmic hernia? My endoscopy results use both terms so i'm confused. Online it seems a diaphragm hernia is worse.
Same thing: There's a natural hole in the diaphragm through which the esophagus passes to deliver food and drink to the stomach. When this hole stretches out, the stomach can go up in to the chest (herniate). Small amounts of stomach (small hernia) should be ignored. Large hernias are also called paraesophageal hernias, and should be considered for surgical repair. Hope this helps! ...Read more
Can a small sliding hiatal hernia be repaired by just pulling the hernia down back to the abdominal cavity then tightening the diaphragm hiatus?
Having laparoscope fr endometriosis, poss on diaphragm; chst CT shows bochdalek hernia. Shld it be fixed? 43, sev ongoing sx, chest tight/dyspnea/pain
Maybe: Bochdalek hernias are there from birth, and are commonly found on ct scans. Right sided hernias typically contain a small amount of fat, are asymptomatic, and can be safely watched. Left sided hernias can be like this, but may contain the stomach or other organs. See a general or thoracic surgeon with experience in laparoscopic hiatal hernia for a consultation. Bring the ct scan! ...Read moreSee 1 more doctor answer
Chest CT for suspected endometriosis on diaphragm shows small fat-containing bochdalek hernia. Cld cause rt rib/collarbone/neck/face pain & fullness?
Variable defect: When the diaphram fails to finish forming, a hole is left between the chest ; abdomen ; bowel can slip into the lung cavity (herniate) before or just after birth(when baby starts to cry ; swallow air).If the lung forms well ; bowel slips later, there is a better chance of lomg term survival. Without room to form the lung on that side can fail.Rapid recognition ; suportiive care is a must. ...Read more
Hole in diaphragm : While there are normally openings in the diaphragm to allow passage of blood vessels and the esophagus, sometimes there are additional holes where the diaphragm doesn't form properly. If the extra hole is big enough, some abdominal organs will migrate into the chest an prevent the lung from developing, which can be fatal at birth. Small hernias may never be noticed, or last until adulthood. ...Read moreSee 2 more doctor answers
Yes : If the hernia is large enough to allow the abdominal organs to go in i the chest during development, they can physically prevent the lung from developing. In its most severe case, rapid death due to inability to get oxygen in to the system can occur immediately after delivery. It is important to understand however that this is not the case for all hernias. See a pediatric surgeon for your details. ...Read moreSee 1 more doctor answer
Hole in Diaphragm: A congenital diaphragmatic hernia is a defect in the diaphragm. You are born with this defect. The diaphragm is a muscle that separates the chest and abdomen. It does have normal holes for the esophogus and blood vessels to pass through. Failure of this organ to develop properly can result in a hole in the diaphragm and then organs from the abdomen can pass into the chest. ...Read more
Small lungs: Babies with diaphragmatic hernia have intestines entering the chest through the defect. The lungs do not have adequate space to develope. As a result babies have pulmonary hypoplasia that may be inadequate for normal life. Mortality used to be 50%. It has increased to 80-85% in some studies. ...Read moreSee 1 more doctor answer
Yes: It is possible due to the fact that the lungs may not be able to develop because the abdominal contents have herniated in to the chest. There are varying degrees of severity, and some things that can be done before birth , and immediately after birth to help. May want to see a pediatric surgeon early on for a consultation to find out more. Hope this helps! ...Read moreSee 1 more doctor answer
Are there any long-term consequences of having a congenital diaphragmatic hernia if it is fixed right away?
Yes: Depending on when cdh happens during the pregnancy, associated complications like pulmonary hypoplasia (smaller amount of total lung volume), in decreased lung function, varying degrees of high blood pressure in lung blood vessels (pulmonary hypertension) etc are common complications which may continue to some extent, irrespective of when the surgery is done. ...Read moreSee 2 more doctor answers
Requires surgery: Surgery is required to treat congenital diaphragmatic hernias. The surgery occurs either through a scope that the surgeon inserts into the body or after an incision is made in order for the surgeon to visualize the area to repair. A few highly specialized centers may offer experimental fetal interventions. One example of this is balloon tracheal occlusion. ...Read moreSee 1 more doctor answer