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.
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M. A. Abraham, Viswanath, N., Ramakrishnan, P., Bindu, S., Kedari, P., Naaz, A., Rahman, L. O. A., Nasir, A. A., Mohan, S., Shivji, R., and Sasidharan, P., “Intravesical pressure: A new prognostic indicator in congenital diaphragmatic hernia”, Journal of Indian Association of Pediatric Surgeons, vol. 16, pp. 129-131, 2011.