Abstract:
Aim: It is to determine problems in long-term follow-up of patients operated in infancy and newborn period for congenital
diaphragmatic hernia in our clinic before one year of age and to evaluate significance of perioperative findings on long-term results.
Material and Methods: Among patients, 16 patient above 8 years of age with outpatient control in the past year were investigated
retrospectively. Patients were grouped regarding operation age as newborn and infancy period. Preoperative predictive data, early
and late postoperative findings, diagnostic studies, disorders were evaluated.
Results: Male-to-female ratio was 3/1, right-to-left sided hernia was 1/15. Average age was 13.1(9-17). Average follow-up was
13years (8-17 years). Thirteen patients were diagnosed in newborn period, 3 in infancy. On follow-up, 85% of newborns and 33% of
infants were found to have at least one disorder. Scoliosis presented in 6, asthma in 5, gastroesophageal reflux (GER) in 4, pectus
excavatum in 4, undescended testis in 3, failure to thrive in 2 patients. All the musculoskeletal system deformities were diagnosed
in only newborn period patients. Four cases (25%) were uneventful. Spirometry revealed obstructive dysfunction in 1, restrictive in 2
patients. CT showed increased aeration and pulmonary asymmetry.
Conclusions: Among evaluated patients, 75% showing disorders requiring treatment or observation indicates the need for follow-up
until adolescence
