Abstract
Diaphragmatic hernia is the displacement of the abdominal organs to the thorax as a result of the diaphragm defect. It may be congenital or acquired (1). Congenital diaphragm hernia is bochadalec hernia and morgagni hernia. It is more common than those with acquired causes and its incidence is 1-5/1000. Trauma is the most common cause of acquired diaphragmatic hernias. It may occur spontaneously or iatrogenically (2). Surgical repair is recommended in its treatment. We aimed to present our experience in congenital diaphragmatic hernia surgery. The files of patients, who were operated on for congenital diaphragmatic hernia between January 2011 and December 2020 in our center were retrospectively reviewed. Twelve patients, who met the criteria were included in our study. Patients with hernia due to trauma and iatrogenic reasons were excluded from the study. Demographic data, admission complaints, preoperative imaging, defect localization, surgical procedures performed, length of hospital stay, early complications, relapse and mortality rates of these patients were recorded. Seven of the patients were male and 5 were female. The average age was 60 (34-84 min-max) year. Six patients were admitted to the emergency department with acute complaints. When their stories were questioned in detail, there were no iatrogenic reasons such as trauma or previous surgery. Diagnoses of all patients were confirmed by computerized tomography. Defect localizations were equal on the right and left. 5 of the patients underwent primary repair + mesh herniorraphy, 4 of them primary repair, and 3 of them repair with mesh alone. Average length of stay in the hospital was 4 (1-8) days. There were no early or late complications, except embolism in 2 patients and wound problems in 2 patients in the early period. Mortality was seen in 2 patients. Although congenital diaphragmatic hernias are mostly diagnosed in childhood, they can rarely be diagnosed in advanced ages. The treatment is surgical and the success of this treatment is high, morbidity and mortality are low.