Congenital diaphragmatic hernia (CDH) is a birth defect that affects about 1 in 2,000-5,000 live births. It occurs when the diaphragm fails to fully form, allowing abdominal organs to migrate into the chest cavity and compress lung development. Untreated CDH has a high mortality rate of nearly 70%. Prenatal diagnosis by ultrasound is possible as early as the second trimester. Postnatal treatment may involve mechanical ventilation, nitric oxide, surfactant therapy, and in severe cases, extracorporeal membrane oxygenation (ECMO) or surgery to repair the diaphragmatic defect. Long-term outcomes include risks of chronic lung disease, feeding difficulties, growth

1. Congenital diaphragmatic hernia Pediatric Surgery Department

4. Diaphragm Development

5. Diaphragm Development

6. Diaphragm Development

9. Fetal diafragmatic hernia: Ultrasound diagnosis

10. Prenatal MR Imaging - single-shot turbo spin-echo (HASTE) - of congenital diaphragmatic hernia

11. Prenatal MR Imaging of congenital diaphragmatic hernia

12. P ulmonary hypoplasia

13. Anatomopathology show of CDH

25. Operative approach

26. T he defect in the diaphragm

27. Patch repair of a large defect

28. Repair of congenital diaphragmatic hernia by VATS