CONGENITAL DIAPHRAGMATIC HERNIA: GENERAL OVERVIEW AND MEDICAL INTERVENTIONS

• DOI: 10.22533/at.ed.1593652329082

• Palavras-chave: “Congenital Diaphragmatic Hernia”; “Pulmonary Hypoplasia”; "Pulmonary hypertension"; “ECMO”; "FETUS".

• Keywords: “Congenital Diaphragmatic Hernia”; “Pulmonary Hypoplasia”; "Pulmonary hypertension"; “ECMO”; "FETUS".

• Abstract:

  The present article is a systematic review of the literature using PubMed and LILACS databases. 10 articles were selected that were in accordance with the proposal. Congenital diaphragmatic hernia (CDH) is characterized by the absence or failure of the diaphragm to close after 10 weeks of gestation, an age at which it must already have its formation process complete and without defects. Its etiology is still poorly understood, but it is presumed to be multifactorial. This communication between cavities allows abdominal organs to move into the chest, putting pressure on the lungs and preventing their proper development. The main consequences of CDH are variable degrees of hypoplasia and pulmonary hypertension, gastroesophageal reflux and intestinal obstruction, leading to high morbidity and mortality. For early diagnosis and effective management of cases, it is essential to identify and study diagnostic methods, such as ultrasound and magnetic resonance imaging; of the main pre (Endoluminal Tracheal Occlusion or “FETO”) and postnatal (Extracorporeal Membrane Oxygenation or “ECMO”) medical interventions, in addition to current protocols for oxygenation and pH management after birth.