Abstract:

Objective: Congenital Morgagni hernia CMH is rare and comprises 3-5% of all types of congenital diaphragm hernias. As it is rarely seen in the neonatal period, there ispaucity in the literature regarding CMH. In this study, we aimed to present our experience in the treatment of CMH patients that underwent surgery during the neonatal period.Material and Methods: The retrospective study included patients that underwent surgery due to CMH during the neonatal period between 2008 and 2017. Demographic characteristics, signs and symptoms, additional congenital anomalies, treatment methods, complications, hospitalization period, and morbidity and mortality were recorded for each patientResults: The14 patients comprised 9 boys and 5 girls with a mean birth weight of 2,460±820 g. Respiratory distress 43% was the most common presenting symptom. Five patients were diagnosed during the intrauterine period, and plain radiography was the most commonly performed diagnostic technique 64% . Mean age at surgery was 5,3 days. Wound site infection was the most common postoperative complication 28% and Down syndrome was the most common congenital anomaly accompanying CMH 21% . Mean hospitalization period was 13±4 days. Two patients died due to cardiopulmonary insufficiency.Conclusion: The results indicated thatmost of our patients suffered from respiratory distress, Down syndrome was the most common congenital anomaly accompanying CMH, the intrauterine diagnosis of CMH plays an important role in the treatment process, and the surgical results of the patients were satisfactory

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