The use of intestinal exteriorization technology in the treatment of congenital diaphragmatic hernia in a newborn infant

Abstract

The result of the surgical treatment of a newborn infant with congenital diaphragmatic hernia complicated by pulmonary hypertension and ischemic lesion of the small intestine is presented. Using the technology of intestinal exteriorization after conversion of thoracoscopic access to laparotomy, plastic surgery of the left dome of the diaphragm, and moving the changed loops of the small intestine into a silo sewn to the edges of the laparotomy wound allowed avoiding serious complications in the postoperative period. 7 days after the first operation, bowel loops were immersed in the abdominal cavity, and suturing of the laparotomy wound was performed. During the follow-up examination for 2 years after the operation, the diaphragm is usually located, there are no signs of impaired bowel function.