Your choise in the case

[Alex]

Your choise in the case:
Observation, how long time?
Surgeon, the time of intervention?
2 kg, term male baby, SGA.

[Stefan Johansson]

Could you please give us some more clinical information?

[jammaltaleb]

hi
liver inventration intrathoracic.

[Alex]

In clinic: moderate distress. Rare apnea (1 per 2-3 days)
Respirator noise in the right side is weakness (without NCPAP – absent).
Respiratory support: NCPAP3-5. FiO2 0.21-0.25. PSV just for CT.
Heart – small muscular interventricular defect (2 mm).
Double-side 1-2 size hydronephrosis.
Deformations of radiocarpal, and ankle.
Laboratory tests are normal.
pH 7,25-7,35. pCO2 -70-75.
Full tube enteral nutrition.
Genetic tests are in work.

[Stefan Johansson]

Our surgeons opt for early closure of diagphragmatic hernias, during the first week of life.

[Alex]

Many thanks, Stefan. We do not have surgeon unit, and this case we provide respiratory support 3 weeks before closer diaphragmatic hernia. It not rule but it happened.