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Congenital Diaphragmatic Hernia Repair (Pediatric) - Medical Animation

 

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Congenital Diaphragmatic Hernia Repair (Pediatric) - Medical Animation
MEDICAL ANIMATION TRANSCRIPT: A congenital diaphragmatic hernia is a birth defect, in which an abnormal opening in a baby's diaphragm allows abdominal organs to move into the chest. The diaphragm is a large, dome-shaped sheet of muscle that separates the chest from the abdomen. When the baby breathes in, the diaphragm and outer rib muscles contract, expanding the chest cavity. This expansion lowers the air pressure inside the chest, creating a pressure change that causes air to rush into the lungs. When the baby breathes out, the diaphragm relaxes and the inner rib muscles contract, reducing the size of the chest cavity. This reduced size increases the air pressure inside the chest, forcing air out of the lungs. For unknown reasons, the diaphragm in some babies doesn't develop completely before birth, resulting in an opening between the chest and abdomen. The most common location for this opening is on the left side of the diaphragm, near the back. The baby's abdominal organs can push through-- or herniate-- through this opening in the diaphragm and compress the lungs. As a result, the lungs do not develop fully, causing the baby to have significant trouble breathing right after birth. Before the operation, the baby will be given general anesthesia to put him or her to sleep for the entire operation. A breathing tube, inserted soon after birth through the nose or mouth and down the throat, will continue to help the baby breathe during the operation. Usually, the surgeon will make an incision under the ribs on the left side. Next, the surgeon will carefully move the abdominal organs from the chest back to their normal place in the abdomen. If the hole in the diaphragm is small, it will be closed with sutures alone. If the hole is too large, or there isn't enough muscle to close it, a patch will be sewn over it. Finally, the incision will be closed with dissolvable sutures or closure tape dressing. After the operation, the baby will be taken to the neonatal intensive care unit for monitoring. A mechanical ventilator machine will help the baby breathe for a few days or several weeks. Pain medication will be given. The baby may continue to receive antibiotics through the IV. The hospital stay may last for weeks or months, depending on the size and condition of the baby's lungs. If a patch was used, the baby's growth will need close monitoring, because the patch doesn't grow and may start to pull away from the hole.

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What attorneys say about MLA and The Doe Report:
"I wanted to thank you for the terrific job you did illustrating my client's injuries. The case was settled at the pre-suit mediation, and I believe a good part of the success we had was due to the medical legal art you prepared.

Your work received the ultimate compliment at the conclusion of the mediation. The hospital risk manager took the exhibit with them at the conclusion of mediation, and will be using it to train nurses on how to prevent bed sores..."

Steven G. Koeppel
Troy, Yeslow & Koeppel, P.A.
Fort Myers, FL

"Thank you very much for the great work on the medical exhibits. Our trial resulted in a $16 million verdict for a 9 year old boy with catastrophic injuries, and the medical illustrations definitely played key role in the trial."

David Cutt
Brayton Purcell
Salt Lake City, UT

"[Your staff] was extremely efficient, cooperative and gracious and [their] efforts produced a demonstrative exhibit that we used effectively throughout our trial. The jury verdict of $3,165,000.00 was, in no small measure, due to the impact of the demonstrative evidence. You may be sure that we will call again."

David J. Dean
Sullivan Papain Block McGrath & Cannavo, P.C.
New York, NY

"This past year, your company prepared three medical illustrations for our cases; two in which we received six figure awards; one in which we received a substantial seven figure award. I believe in large part, the amounts obtained were due to the vivid illustrations of my clients' injuries and the impact on the finder of fact."

Donald W. Marcari
Marcari Russotto & Spencer, P.C.
Chesapeake, VA












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