Our Summary

This study looks at a rare type of hernia called a parahiatal hernia, which can often be confused with a more common type of hernia due to its location. The researchers compiled data from all previously published reports on this type of hernia, including their own cases. They found 27 cases since 1987, with most initially misdiagnosed as different type of hernia. The researchers found that this hernia can be dangerous as it has a high chance of causing further medical issues. However, they also found that it can be safely and effectively treated with laparoscopic surgery - a less invasive type of surgery using a tiny camera and small incisions. The paper suggests that surgeons should be aware of this type of hernia, especially when treating more common hernias, as they can occur even in patients who’ve had previous hernia surgery.

FAQs

  1. What is a parahiatal hernia and how is it different from other types of hernias?
  2. What are the potential dangers associated with a parahiatal hernia?
  3. How is a parahiatal hernia treated and why is laparoscopic surgery recommended?

Doctor’s Tip

A doctor might tell a patient undergoing congenital diaphragmatic hernia repair that laparoscopic surgery is a safe and effective option for treatment. This minimally invasive approach can help reduce post-operative pain, speed up recovery time, and result in less scarring compared to traditional open surgery. It’s important for patients to follow their doctor’s pre and post-operative instructions closely to ensure a successful outcome.

Suitable For

Patients who are typically recommended congenital diaphragmatic hernia repair include infants and children who are diagnosed with this condition shortly after birth. Congenital diaphragmatic hernia is a condition where there is a hole in the diaphragm, allowing abdominal organs to move into the chest cavity and compress the lungs. This can lead to respiratory distress and other complications.

Surgical repair is usually recommended to correct the hernia and allow the lungs to develop properly. The surgery is typically performed within the first few days or weeks of life, depending on the severity of the condition. In some cases, additional treatments such as oxygen therapy or mechanical ventilation may be needed before or after surgery.

Overall, patients with congenital diaphragmatic hernia require careful monitoring and management by a multidisciplinary team of healthcare providers, including pediatric surgeons, neonatologists, respiratory therapists, and other specialists. The goal of treatment is to optimize lung function and overall health outcomes for these patients.

Timeline

Before Congenital Diaphragmatic Hernia Repair:

  • Patient may experience symptoms such as difficulty breathing, fast breathing, and a rapid heart rate
  • Imaging tests such as ultrasound, X-ray, or MRI may be done to confirm the diagnosis
  • Patients may be monitored closely in the neonatal intensive care unit to stabilize before surgery

After Congenital Diaphragmatic Hernia Repair:

  • Patient will be closely monitored in the hospital for any complications post-surgery
  • Chest tubes may be placed to help drain fluids and air from the chest cavity
  • Patient may require mechanical ventilation to help with breathing
  • Physical therapy and rehabilitation may be needed to help with recovery and improve lung function
  • Long-term follow-up care may be necessary to monitor for any potential complications or long-term effects of the hernia repair.

What to Ask Your Doctor

  1. What is a congenital diaphragmatic hernia and how is it diagnosed?
  2. What are the risks and potential complications associated with congenital diaphragmatic hernia repair surgery?
  3. What are the different surgical options available for repairing a congenital diaphragmatic hernia?
  4. What is the success rate of congenital diaphragmatic hernia repair surgery?
  5. What is the recovery process like after congenital diaphragmatic hernia repair surgery?
  6. Are there any long-term effects or considerations to be aware of after surgery?
  7. How often will follow-up appointments be needed after surgery?
  8. Are there any lifestyle changes or precautions that should be taken after surgery?
  9. What should I do if I experience any concerning symptoms after surgery?
  10. Are there any specific signs or symptoms that indicate a complication or recurrence of the hernia?

Reference

Authors: Li J, Guo C, Shao X, Cheng T, Wang Y. Journal: ANZ J Surg. 2020 Nov;90(11):2180-2186. doi: 10.1111/ans.15926. Epub 2020 May 1. PMID: 32356615