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Congenital Diaphragmatic Hernia
Everything in the library about congenital diaphragmatic hernia — built automatically from the recorded discussions that name it
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Content of this collection
Acute Management
3 items
CDH-ECMO - VV vs. VA - Repair on ECMO: Update Course 2015
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Dr. Wulkan, Surgeon-in-Chief, Children's Healthcare of Atlanta, presents a case of a 35 week gestational aged female with respiratory distress at birth and the ECHO shows super-systemic pulmonary pressure. The case study generated debate am
video10:45 · Jan 2019
Update Course Rewind: When & How to Operate CDH Patients on ECMO 2024
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In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. Rebecca Stark and Steven Lee from Seattle Children’s Hospital walk through the timing, technique, and controversies surrounding ECMO in severe congenital diaphrag
video4:44 · Aug 2025
Improving Outcomes for Congenital Diaphragmatic Hernia (CDH): Protocol Changes at Cincinnati Children's
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Discover how Cincinnati Children's Hospital implemented protocol changes to significantly improve outcomes for babies with Congenital Diaphragmatic Hernia (CDH). This video details updates in ventilator management, ECMO utilization, blood p
video5:22 · Jun 2026
Surgical Management
8 items
Controversies in Congenital Diaphragmatic Hernia: Update Course 2018
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At the 6th Annual Pediatric Surgery Update Course, Dr. Mark Wulkan discusses controversies in congenital diaphragmatic hernia including advantages of open versus minimally invasive repair (with visualization of technique), timing of CDH rep
video41:42 · Sep 2018
Challenges in Diaphragmatic Hernia Repair: Update Course 2016
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Dr. Mark Wulkan discusses recurrent and complicated congenital diaphragmatic hernia repairs. Dr. Wulkan's presentation includes insight of indications of these hernias, contraindications to MIS repair, pericostal suture, SIS underlay mesh,
video44:15 · Oct 2018
CDH - MIS vs. Open: Update Course 2015
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Dr. Mark Wulkan discusses the repair ofcongenital diaphragmatic hernias by minimally invasive approach versus an open approach. Dr. Wulkan's demonstration includes complications of aminimally invasive versus an open approach to thecongenita
video5:57 · Jan 2019
CDH-ECMO Routine Patient Preoperative Workup, Timing, Technique: Update...
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Dr. Wulkan, Surgeon-in-Chief, Children's Healthcare of Atlanta,presents a routine newborn with congenital diaphragmatic hernia diseaseand discusses and debates preoperative workup, timing, and technique. Dr. Wulkan suggests ECHOto be a key
video3:31 · Jan 2019
Fetoscopic Endoluminal Tracheal Occlusion (FETO)
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Did you know that we can do surgery on a fetus? In today's episode, we hear from Dr. Foong-Yen Lim, M.D. about Fetoscopic Endoluminal Tracheal Occlusion or FETO to treat Congenital Diaphragmatic Hernia (CDH) with Host Rod Gerardo, M.D.
podcast5:54 · Jul 2021
Update Course Rewind: When & How to Operate CDH Patients on ECMO 2024 Part 2
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In this session from the 12th Annual Update Course in Pediatric Surgery, Drs. Rebecca Stark and Steven Lee from Seattle Children’s Hospital walk through the timing, technique, and evolving protocols for performing ECMO and surgical repair i
video4:55 · Aug 2025
Inside a FETO Procedure: Fetoscopic Balloon Tracheal Occlusion with Dr. Beth Rymeski
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This video, featuring Dr. Beth Rymeski from Cincinnati Children's, details the procedural aspects of Fetoscopic Endoluminal Tracheal Occlusion (FETO). It explains how a fetoscope is used to insert and inflate a balloon in the fetal trachea,
video4:30 · Jul 2026
Fetoscopic Endoluminal Tracheal Occlusion (FETO) Procedure: Step-by-Step Guide with Dr. Beth Rymeski
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Learn the procedural aspects of Fetoscopic Endoluminal Tracheal Occlusion (FETO) with Beth Rymeski, DO, a Pediatric Surgeon from Cincinnati Children's. This video details the steps of using a fetoscope to insert and inflate a balloon in the
video4:30 · Sep 2026
Complications
1 item
Neonatal Gastric Volvulus with Dr. Jason Frischer
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Gastric volvulus is a rare pathology for the pediatric surgical patient and when it happens, you want to be ready for potential surgical intervention. In this episode, Dr. Jason Frischer discusses the basics of diagnosis and management for
podcast11:17 · Jun 2022
Evidence & Research
22 items
Stay Current Journal Club: Episode 1 - Ventricular Dysfunction in CDH and...
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Introducing the Stay Current in Pediatric Surgery Journal club - run by residents across the country. In this episode, Vik Gupta and Joe L'Huillier talk about the role of ventricular dysfunction in the prognosis of congenital diaphragmatic
podcast16:50 · Feb 2021
Best of the Best in Pediatric Surgery Winner Announcement
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Kudos to all of the amazing individuals and societies who came together to create a truly unique and enlightening event, but there could only be one winner.... Congratulations to Kasra Khalaj, PhD, MSc and the Canadian Association for Pedi
video8:26 · Apr 2022
CAPS - Administration of amniotic fluid stem cell extracellular vesicles regenerates the lung epithelium in fetal rats with CDH at translationally relevant developmental stages - Kasra Khalaj
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Listen to Kasra Khalaj gave his presentation of "Administration of amniotic fluid stem cell extracellular vesicles regenerates the lung epithelium in fetal rats with CDH at translationally relevant developmental stages" at the first ever Be
video7:42 · May 2022
EUPSA - MicroRNAs in amniotic fluid stem cellextracellular vesicles modulate lung development in experimental congenital diaphragmatic hernia - Kasra Khalaj
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Listen to Kasra Khalaj gave his presentation of "MicroRNAs in amniotic fluid stem cellextracellular vesicles modulate lung development in experimental congenital diaphragmatic hernia" at the first ever Best of the Best in Pediatric Surgery
video10:03 · May 2022
EUPSA - Circular RNA profiles isolated from amniotic fluidscan distinguish between CDH survivors and non-survivers - Richard Wagner
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Listen to Richard Wagner gave his presentation of "Circular RNA profiles isolated from amniotic fluidscan distinguish between CDH survivors and non-survivers" at the first ever Best of the Best in Pediatric Surgery event.
video9:12 · May 2022
IFMSS 2019 Clinical Studies
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podcast19:13 · Nov 2022
BOB in Ped Surg 2023 - AAP Winner - Shelby Sferra, MD
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Watch the AAP winner, Shelby Sferra, MD, present her presentation on "Racial and Ethnic Disparities in Outcomes Among Newborns with Congenital Diaphragmatic Hernia: Results from a National Children's Hospital Database."
video11:50 · Feb 2023
BOB in Ped Surg 2023 - EUPSA Winner - Dr. Rebeca Figueira
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Watch the EUPSA winner, Dr. Rebeca Figueira, present her presentation on "Fetal lung vascular development is reduced by amniotic fluid stem cells extracelullar vesicles in experimental congenital diaphragmatic hernia."
video · Feb 2023
BOB in Ped Surg 2023 - CAPS Winner - Christina Theodorou, MD
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Watch the CAPS winner, Christina Theodorou, MD, present her presentation on "Evaluation of a novel biodegradable polyurethane patch for repair of diaphragmatic hernia in a rat model: a pilot study."
video · Feb 2023
BOB Winner Presentation - Dr. Rebeca Figueira - EUPSA
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The overall winner of the Best of the Best in Pediatric Surgery 2023 is Dr. Rebeca Figueira of EUPSA on her presentation of "Fetal lung vascular development is reduced by amniotic fluid stem cells extracelullar vesicles in experimental cong
video · Feb 2023
BOB Ped Surg 2023 - Shelby Sferra, AAP - Presentation
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Watch Shelby Sferra, MD, present her presentation on "Racial and Ethnic Disparities in Outcomes Among Newborns with Congenital Diaphragmatic Hernia: Results from a National Children's Hospital Database."
video5:10 · Feb 2023
BOB Ped Surg 2023 - Christina Theodorou, CAPS - Presentation
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Watch Christina Theodorou, MD, present her presentation on "Evaluation of a novel biodegradable polyurethane patch for repair of diaphragmatic hernia in a rat model: a pilot study."
video · Feb 2023
CDH Live Webinar Series Part 1: Research: Lung Compression in CDH Generates Cellular Chronic Hypoxia and Energy Failure
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The Cincinnati Children's Fetal Care Center—one of the few comprehensive fetal care centers worldwide—offers a unique approach to treating complex and rare fetal conditions. Their team of specialists from Cincinnati Children’s, TriHealth an
video · May 2023
Case-Based Journal Review: Congenital Diaphragmatic Hernia 2023
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It is already public knowledge that thousands of articles on different pathologies are published every day and that it is very difficult to follow them.
In this format we bring you a different way of knowing what is the most up-to-date o
podcast19:20 · Oct 2023
El momento de la reparación de la HDC en ECMO influye en el riesgo de hemorragia quirúrgica
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Otro artículo de JPS de Cecilia Gigena que debes conocer
"El momento de la reparación de la hernia diafragmática congénita mediante oxigenación por membrana extracorpórea influye en el riesgo de hemorragia quirúrgica"
Autores: C. Jason Sm
video · Nov 2023
Yuichiro Miyake, MD - Best of the Best in Pediatric Surgery 2024
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Watch CAPS' Dr. Yuichiro Miyake’s presentation on “Using microinjection for drug delivery with nanoparticles in lung explants to study prenatal treatment of congenital diaphragmatic hernia” at the 2024 Best of the Best in Pediatric Surgery
video7:20 · Feb 2024
Giussepe Cala, PhD candidate - Best of the Best in Pediatric Surgery 2024
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Watch BAPS' Giussepe Cala, PhD candidate’s presentation on “Single-cell guided prenatal derivation of primary fetal epithelial organoids from the human amniotic and tracheal fluids” at the 2024 Best of the Best in Pediatric Surgery event!
video7:27 · Feb 2024
Kasra Khalaj, MSc, PhD - Best of the Best in Pediatric Surgery 2024
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Watch AAP's Dr. Kasra Khalaj’s presentation on “Human amniotic fluid stem cell extracellular vesicles rescue features of lung development in human hypoplastic fetal lungs” at the 2024 Best of the Best in Pediatric Surgery event!
Moderato
video7:16 · Feb 2024
Tracheomalacia and tracheomegaly in infants and children with congenital diaphragmatic hernia managed with and without fetoscopic endoluminal tracheal occlusion (FETO): a multicentre, retrospective cohort study
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David Basurto, Kanokwaroon Watananirun, Anne-Gael Cordier, Juan Otaño, Diane Carriere, Marianna Scuglia, Anna Moraes de Luna Freire Vargas, Jordi Prat, Francesca Maria Russo, Anne Debeer, Cleisson Fábio Andrioli Peralta, Paolo De Coppi, Edu
video0:59 · Oct 2024
Dr. Marietta Jank - Best of the Best in Pediatric Surgery 2025
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Watch CAPS' Dr. Marietta Jank's presentation on “CITED2 is disrupted in human congenital diaphragmatic hernia (CDH) lungs" at the 2025 Best of the Best in Pediatric Surgery event!
Moderators: Drs. Todd Ponsky, Dan von Allmen, and Meera K
video8:13 · Mar 2025
Dr. Adriana Dekirmendjian - Best of the Best in Pediatric Surgery 2025
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Watch CAPS' Dr. Adriana Dekirmendjian's presentation on “Congenital Diaphragmatic Hernia in Canada: Time Trends and Analysis by Location, Maternal Age and Sex” at the 2025 Best of the Best in Pediatric Surgery event!
Moderators: Drs. Tod
video9:30 · Mar 2025
Quick Literature Updates Episode 20
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We’re back with 20th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video4:03 · Jun 2025
Case-Based Learning
2 items
Severe Congenital Diaphragmatic Hernia (CDH) Case: FETO Management & Unexpected Findings with Dr. Beth Rymeski
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This video presents a complex case of severe Congenital Diaphragmatic Hernia (CDH) managed with Fetal Endoscopic Tracheal Occlusion (FETO). Dr. Beth Rymeski from Cincinnati Children's discusses the prenatal diagnosis, the FETO procedure, an
video3:51 · Sep 2026
FETO for Late-Diagnosed Severe Congenital Diaphragmatic Hernia (CDH) at Cincinnati Children's with Dr. Beth Rymeski
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This video presents a detailed case study of a 24-year-old mother with a late diagnosis of severe congenital diaphragmatic hernia (CDH) at 28 weeks of gestation. Pediatric Surgeon Dr. Beth Rymeski from Cincinnati Children's Hospital highlig
video4:55 · Sep 2026
In-Depth Reviews
4 items
Congenital Diaphragmatic Hernia with Dr. Charlie Stolar
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Dr Charlie Stolar discusses key points of CDH with Dr. Todd Ponsky. EDITED BY NICHOLAS BRUNS, MD and IAN GLENN, MD.
podcast1:22:05 · Jan 2019
Congenital Diaphragmatic Hernia with Dr. Charlie Stolar
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Dr Charlie Stolar discusses key points of CDH with Dr. Todd Ponsky. EDITED BY NICHOLAS BRUNS, MD and IAN GLENN, MD.In this episode, Dr. Charles Stolar from Columbia University College of Physicians and Surgeons and California Pediatric Sur
podcast1:22:05 · Dec 2020
Update Course Rewind: 2024 Top Ten Key Takeaways
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Join us for a highlight reel of the Top 10 Key Takeaways from the 12th Annual Update Course in Pediatric Surgery. This session covers the latest advances, practical tools, and emerging trends that are shaping the future of pediatric surgica
video18:01 · Jun 2025
Congenital Diaphragmatic Hernias (CDH): Improving Outcomes with Advanced Imaging & Nutrition
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This video provides a comprehensive overview of Congenital Diaphragmatic Hernias (CDH), a significant birth defect. Dr. Paul Kingma from Cincinnati Children's discusses the incidence, prenatal assessment, and key factors influencing prognos
video5:30 · May 2026
Emerging & Future Directions
2 items
Fetoscopic endoluminal tracheal occlusion and twin-twin transfusion: Fetal...
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Dr. Yan Deprest, Professor of Obstetrics GYN, University Hospitals Gasthuisberg. Leuven, Belgium, discusses fetoscopic endoluminal tracheal occlusion. His presentation provides insight on the percutaneous procedure, trocar insertion, delive
video2:29:16 · Jan 2019
Inside a FETO Procedure: Fetoscopic Balloon Tracheal Occlusion with Dr. Beth Rymeski
Watch →
This video, presented by Dr. Beth Rymeski of Cincinnati Children's Hospital, details the procedural aspects of Fetal Endoluminal Tracheal Occlusion (FETO). It explains how a fetoscope is used to insert a balloon into the fetal trachea to te
video4:30 · Jul 2026
Patient & Family Education
1 item
What is Congenital Diaphragmatic Hernia (CDH)? An ERNICA animation for parents and families
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Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video3:14 · Dec 2023
Long-Term Care
1 item
Transition of Care - Alcohol and Smoking
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Animation video on Alcohol and Smoking, from the video series 'Transition of Care'. ERNICA (https://ern-ernica.eu/) Target audience: Healthcare providers
video4:00 · Nov 2023
Summaries and takeaways+ Show
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All expert statements+ Show
Every expert statement below comes from the recorded discussions, with its speaker and moment.
Congenital Diaphragmatic Hernia with Dr. Charlie Stolar
CDH occurs in approximately 1 out of every 3,000-4,000 pregnancies
epidemiologicalCharlie Stolar2:45 ↗
CDH diagnosis is typically made at the 20-week anatomy scan when ultrasonographers see the stomach in the same cross-sectional plane as the heart
clinicalCharlie Stolar3:37 ↗
CDH represents a growth arrest of both lungs, with the ipsilateral side more severely affected than the contralateral side
clinicalCharlie Stolar4:14 ↗
At birth, CDH lungs are affected by a mix of pulmonary hypoplasia and altered pulmonary vascular resistance with altered transitional circulation
clinicalCharlie Stolar4:23 ↗
CDH is a field defect; the most common neonatal comorbidity is foregut motility difficulty
clinicalCharlie Stolar4:39 ↗
CDH is a medical physiologic emergency but not a surgical emergency
clinicalCharlie Stolar5:00 ↗
The diagnosis of CDH alone is not an indication for cesarean section; elective spontaneous vaginal delivery is recommended assuming no obstetric issues
guidelineCharlie Stolar5:24 ↗
Antenatal interventions for CDH are no better than investigational and experimental at best
opinionCharlie Stolar6:35 ↗
Babies with CDH should be born at a full-service children's facility with ECMO capability; maybe 10-15% will benefit from ECMO
guidelineCharlie Stolar7:23 ↗
In single-center experiences, presence of liver in the chest or stomach in the chest is of no prognostic value
clinicalCharlie Stolar8:31 ↗
Lung-to-head ratio is of limited prognostic value except when very low (less than 0.8), where prognosis is concerning
clinicalCharlie Stolar8:42 ↗
Associated congenital heart disease and central nervous system abnormalities augur for poor prognosis
clinicalCharlie Stolar9:07 ↗
If shown 100 children with CDH, 80-85% will survive to become teenagers
epidemiologicalCharlie Stolar10:13 ↗
Antenatal steroids have tremendous value for preterm labor under 35 weeks but most CDH babies are near-term (37-39 weeks) where steroid role is arguable
clinicalCharlie Stolar10:37 ↗
Exit to ECMO for CDH is nonsense; it moves the goalposts on almost certainly non-viable babies
opinionCharlie Stolar12:06 ↗
We are born with about 1/2 to 2/3 of our full complement of alveoli and can grow the balance sometime after birth
clinicalCharlie Stolar13:00 ↗
Initial evaluation of newborn with CDH includes looking for morphology, associated anomalies, respiratory distress, pre- and post-ductal oxygen gradients, and early cardiac echo for right heart function
clinicalCharlie Stolar14:45 ↗
Not every baby with CDH needs or is a candidate for ECMO; approximately 5% have insufficient lung to support life based on inability to saturate preductal blood
clinicalCharlie Stolar15:55 ↗
ECMO is a drug delivery system for oxygen; indication is when end organs aren't getting enough oxygen despite best care
clinicalCharlie Stolar17:06 ↗
The best way to assess end-organ function is urine output
clinicalCharlie Stolar17:44 ↗
ECMO indication is typically oxygenation index in excess of 40 for 4 hours or more
guidelineCharlie Stolar18:21 ↗
All therapy is guided by preductal oximetry, not postductal; if preductal saturation is 90% (PaO2 ~65 torr), the brain is doing fine with fetal hemoglobin
clinicalCharlie Stolar19:06 ↗
When managing dropping preductal saturation, first ensure adequate hemoglobin and circulating volume, then increase FiO2 or ventilator pressure, but avoid trying to control PCO2 as this will destroy the lungs
clinicalCharlie Stolar20:25 ↗
Neonatal ventilators would be thrown out as lethal devices if someone tried to invent them today
opinionCharlie Stolar21:38 ↗
CDH babies are not paralyzed during ventilation; minimal sedation is used and babies should be awake and breathing spontaneously
clinicalCharlie Stolar21:56 ↗
Initial conventional ventilator settings (IMV rate ~40, peak pressure 25-28, PEEP ~5) are not tolerated by most CDH babies
clinicalCharlie Stolar22:15 ↗
Unconventional ventilation mode for CDH uses high rate (100 breaths/min), low peak pressure (turned down to zero due to stacking), and high gas flow rate with permissive hypercapnia
clinicalCharlie Stolar22:53 ↗
High-frequency oscillatory ventilation (HFOV) as rescue therapy rarely spares CDH babies from ECMO; when they get out the oscillator, it's time to prime an ECMO circuit
clinicalCharlie Stolar24:30 ↗
Nitric oxide is a waste of money for CDH; it's terrific for premature babies with immature lung disease but of no value in CDH
opinionCharlie Stolar25:45 ↗
The best drug for CDH is oxygen
opinionCharlie Stolar26:07 ↗
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