Intra-Abdominal Hypertension in Neonates Following Congenital Diaphragmatic Hernia Repair: Correlation with Early Postoperative Respiratory and Gastrointestinal Outcomes

The incidence of CDH varies from 1:3000 to 1:5000 live births with an overall mortality of 30-40% [1]. In recent years, advancement in ventilatory strategies have improved pre-operative clinical conditions in experienced tertiary centres [2]. Increased intra-abdominal pressure (IAP) is seen in 50% of neonates after CDH repair due to the reduction of thoracic contents into the relatively smaller abdominal cavity [3]. This may lead to intra-abdominal hypertension (IAH) and subsequently abdominal compartment syndrome (ACS) if unaddressed [3].
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Source Type: research