Your choise in the case:

Observation, how long time?

Surgeon, the time of intervention?

2 kg, term male baby, SGA.

Could you please give us some more clinical information?

hi

liver inventration intrathoracic.

In clinic: moderate distress. Rare apnea (1 per 2-3 days)

Respirator noise in the right side is weakness (without NCPAP – absent).

Respiratory support: NCPAP3-5. FiO2 0.21-0.25. PSV just for CT.

Heart – small muscular interventricular defect (2 mm).

Double-side 1-2 size hydronephrosis.

Deformations of radiocarpal, and ankle.

Laboratory tests are normal.

pH 7,25-7,35. pCO2 -70-75.

Full tube enteral nutrition.

Genetic tests are in work.

Edited July 19, 200916 yr by Alex

Our surgeons opt for early closure of diagphragmatic hernias, during the first week of life.

Many thanks, Stefan. We do not have surgeon unit, and this case we provide respiratory support 3 weeks before closer diaphragmatic hernia. It not rule but it happened.