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Poster - 163
Outcomes of Mesh Repair in Neonates with Congenital Diaphragmatic Hernia: A Single-Center Experience
Osman Nuri İş, Süleyman Arif Bostancı, Vildan Selin Çayhan, Elif Emel Erten, Aslı ABAY, Ahmet Ertürk, Can İhsan Öztorun, Sabri Demir, Müjdem Nur Azılı, Emrah Şenel
Ankara Bilkent City Hospital Department of Pediatric Surgery
Outcomes of Mesh Repair in Neonates with Congenital Diaphragmatic Hernia: A Single-Center Experience
Osman Nuri İş, SAB, VSÇ, EEE, AA, AE, CİÖ, SD, MNA, EŞ
Purpose:
To evaluate the outcomes and efficacy of synthetic composite mesh in the surgical repair of congenital diaphragmatic hernia (CDH), focusing on survival rates, postoperative complications, duration of mechanical ventilation, and hospital stay.
Method:
A retrospective analysis was conducted on 18 neonates who underwent synthetic composite mesh repair for CDH at our center. Patient data included gestational age, birth weight, CDH type according to the Congenital Diaphragmatic Hernia Study Group (CDHSG) classification, surgical timing, postoperative ventilatory support duration, postoperative abdominal monitoring period, complications, recurrence rates, and total length of hospital stay.
Results:
Of the 18 neonates, 17 had left-sided CDH (13 type D, 4 type C), and 1 had right-sided type D CDH. Gestational age varied between 32 and 38 weeks, with birth weights ranging from 1470 to 3200 grams. Surgical intervention occurred at a median of postnatal day 5 (range: 2–23 days). The duration of postoperative mechanical ventilation ranged from 3 to 43 days, with a median of 18.5 days. Abdominal examinations post-surgery ranged from 4 to 14 days. Postoperative mortality occurred in three patients (16.7%), and one patient (5.5%) required reoperation due to recurrence. Median hospitalization duration among survivors was 45 days (range: 23–94 days). No other significant mesh-related postoperative complications were observed.
Conclusion:
The use of synthetic composite mesh repair in neonates with severe CDH yields acceptable clinical outcomes, although significant challenges remain, including prolonged ventilation and hospitalization periods. Although recurrence was uncommon, the overall mortality rate highlights the ongoing complexity of managing severe CDH cases.