Journal of Indian Association of Pediatric Surgeons
Journal of Indian Association of Pediatric Surgeons
                                                   Official journal of the Indian Association of Pediatric Surgeons                           
Year : 2011  |  Volume : 16  |  Issue : 4  |  Page : 129--131

Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia


Mohan K Abraham, Naveen Viswanath, P Ramakrishnan, S Bindu, P Kedari, Aisha Naaz, Lukman O Abdur Rahman, Abdulrasheed A Nasir, Sharon Mohan, R Shivji, P Sasidharan 
 Department of Pediatric Surgery and Neonatology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India

Correspondence Address:
Mohan K Abraham
Department of Paediatric Surgery, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala
India

Aims: To evaluate the usefulness of intravesical pressure as a prognostic indicator in congenital diaphragmatic hernia. Material and Methods: In 25 cases, bladder pressure was measured intraoperatively during repair. Results: Cases were divided into three groups according to the intravesical pressure. Group 1: pressure <10 cm (n.9), Group 2: 10-15 cm (n.11) and Group 3: >15 cm (n.5). Number of ventilated days was tabulated against these groups. Median number of ventilated days for Group 1, with the lowest pressure, was 3 days, while that for Group 2 was 5 and for Group 3, with the highest pressure, was 10 days. This was significant, with a P-value of 0.016. Conclusion: Measurement of intravesical pressure is a reliable prognostic indicator in newborns with congenital diaphragmatic hernia. It also helps in predicting postoperative ventilatory requirement.


How to cite this article:
Abraham MK, Viswanath N, Ramakrishnan P, Bindu S, Kedari P, Naaz A, Abdur Rahman LO, Nasir AA, Mohan S, Shivji R, Sasidharan P. Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia.J Indian Assoc Pediatr Surg 2011;16:129-131


How to cite this URL:
Abraham MK, Viswanath N, Ramakrishnan P, Bindu S, Kedari P, Naaz A, Abdur Rahman LO, Nasir AA, Mohan S, Shivji R, Sasidharan P. Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia. J Indian Assoc Pediatr Surg [serial online] 2011 [cited 2021 Aug 3 ];16:129-131
Available from: https://www.jiaps.com/article.asp?issn=0971-9261;year=2011;volume=16;issue=4;spage=129;epage=131;aulast=Abraham;type=0