Diaphragmatic hernia repair - congenital
After the Procedure
Your child will stay in the hospital for several days to weeks after the surgery. Your child will be on a breathing machine after the surgery. Once they are taken off the breathing machine, they will still need oxygen and some medicine for a while. Feedings will start after your child’s bowels start working. Feedings are usually done through a feeding tube from the mouth into the stomach or small intestines until your child can take all the food they need by mouth.
Most infants with diaphragmatic hernias have reflux when they eat. This means the food in their stomach moves up into their esophagus (the tube that leads from the throat to the stomach). This can be painful for your child. It also leads to frequent spitting up, which makes feedings more difficult once your child is taking food by mouth. The nurses and feeding specialists will help you learn the best way to feed your baby. Some children need to be on a feeding tube for a long time to get enough food to grow.
Prognosis
The outcome of this surgery depends on how well your baby's lungs have developed. Usually the outlook is very good for infants who have enough lung tissue. All children who have had diaphragmatic hernia repairs will need to be watched closely to make sure the hole in their diaphragm does not open up again as they grow. Children who had a large opening or defect in the diaphragm, or who had more problems with their lungs after birth, may have ongoing lung disease after they leave the hospital. They may need oxygen, medicines, and a feeding tube for months or years. Some children will have problems crawling, walking, talking, and eating. They will need to see physical or occupational therapists to help them develop muscles and strength.
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