Treatment:

A diaphragmatic hernia is an emergency that requires surgery. Surgery is done to place the abdominal organs into the proper position and repair the opening in the diaphragm.

The infant will need breathing support until he or she recovers from surgery. Some infants are placed on a heart/lung bypass machine, which gives the lungs a chance to recover and expand after surgery.

If a diaphragmatic hernia is diagnosed during pregnancy (around 24 to 28 weeks), fetal surgery may be considered.

Expectations (prognosis):

Congenital diaphragmatic hernia is a very serious disorder. The outcome depends upon the development of the lung tissue.

However, with advances in neonatal and surgical care, survival is now greater than 80%.

A poor prognosis is associated with extra amniotic fluid during pregnancy, presence of the fetal stomach in the chest, and distress in the first few hours of life. Infants who survive may have long-term complications including persistent pulmonary hypertension, recurrent lung infections, and gastrointestinal problems.

Complications:

• Lung infections
• Other congenital problems

Calling your health care provider:

Go to the emergency room or call the local emergency number (such as 911). A diaphragmatic hernia is a surgical emergency.