TY - CHAP M1 - Book, Section TI - Congenital Diaphragmatic Hernias in Adults: Management of Bochdalek and Morgagni Hernias A1 - Millington, Timothy M. A2 - Sugarbaker, David J. A2 - Bueno, Raphael A2 - Burt, Bryan M. A2 - Groth, Shawn S. A2 - Loor, Gabriel A2 - Wolf, Andrea S. A2 - Williams, Marcia A2 - Adams, Ann PY - 2020 T2 - Sugarbaker’s Adult Chest Surgery, 3e AB - The majority of diaphragmatic hernias diagnosed in adults arise either at the esophageal hiatus or as a delayed complication of previous diaphragmatic injury. In neonates, diaphragmatic hernia occurs in 1 of 2000–12,500 live births and constitutes 8% of significant congenital anomalies.1 The defect results from failed closure of the diaphragm during embryogenesis. The most common location of these hernias is in the posterolateral position (Bochdalek hernia).2 Bochdalek hernias cause significant morbidity and mortality in the neonatal period; the presentation is rarely delayed until adulthood. Less frequently, the anterior portion of the diaphragm fails to fuse substernally (Morgagni hernia).3 Morgagni hernias carry less early morbidity and are somewhat more likely to be detected in older patients. Late adult recurrence of congenital diaphragmatic hernias repaired in the neonatal period is extremely rare.4 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accesssurgery.mhmedical.com/content.aspx?aid=1170416035 ER -