Postnatal management and long-term outcome for survivors with congenital diaphragmatic hernia

2008 ◽  
Vol 28 (7) ◽  
pp. 592-603 ◽  
Author(s):  
Priscilla Chiu ◽  
Holly L. Hedrick
1993 ◽  
Vol 122 (6) ◽  
pp. 893-899 ◽  
Author(s):  
K.P. Van Meurs ◽  
S.T. Robbins ◽  
V.L. Reed ◽  
S.S. Karr ◽  
A.E. Wagner ◽  
...  

2004 ◽  
Vol 144 (3) ◽  
pp. 309-315 ◽  
Author(s):  
Peter J Davis ◽  
Richard K Firmin ◽  
Brad Manktelow ◽  
Allan P Goldman ◽  
Carl F Davis ◽  
...  

2020 ◽  
Vol 7 (5) ◽  
pp. 1366
Author(s):  
Natasha L. Vageriya ◽  
Rasik Shah ◽  
Shivaji B. Mane ◽  
Taha Daginawala ◽  
Prathamesh More

Background: The objective of the study was to find out incidence of long term complications in congenital diaphragmatic hernia (CDH) survivors in a developing nation with limited facilities.Methods: A retrospective study was done on patients who underwent CDH repair at our institution from 2012 to 2019. 71 patients were identified of these 55 patients operated in neonatal age were considered. After applying exclusion criteria 42 patients included in the study were then divided in 2 groups. Group 1 (26 patients): neonates requiring ventilation within 6 hrs of birth and group 2 (16 patients): not requiring ventilation or intubated after 6hrs of birth. Data from medical records were supplemented by a questionnaire regarding perceived physical function and medical follow up till date. Respiratory, central nervous, musculoskeletal and gastrointestinal systems were concentrated upon and questionnaire set. These were then compared with respect to their long term outcomes. Also, overall incidence of these in the two groups combined was noted compared with other studies.Results: On comparing these 2 groups incidence of long term complications was found more in group 1; however on statistical analysis difference was not significant. As also incidence of individual long term complications in all patients together were identical or lower than in other published series. Mortality in our study was 8 of 49 neonates which was 17% of all patients presenting with CDH or born at our centre.Conclusions: Despite the growing population of CDH survivors the morbidity is not very significant and most patients lead a normal average active life.


2007 ◽  
Vol 30 (4) ◽  
pp. 449-450
Author(s):  
I. Fuchs ◽  
C. C. Roehr ◽  
H. Feller ◽  
C. Bamberg ◽  
J. W. Dudenhausen ◽  
...  

2006 ◽  
Vol 41 (9) ◽  
pp. 882-886 ◽  
Author(s):  
Hiroomi Okuyama ◽  
Akio Kubota ◽  
Hisayoshi Kawahara ◽  
Takaharu Oue ◽  
Yasuhiro Kitayama ◽  
...  

Author(s):  
Alina Elena Gaiduchevici ◽  
Catalin Gabriel Cirstoveanu ◽  
Ana Mihaela Bizubac ◽  
Carmen Maria Heriseanu ◽  
Filip Cristina ◽  
...  

Background: This study presents the experience gained in the Newborn Intensive Care Unit (NICU) at “M. S. Curie” Emergency Clinical Hospital for Children in Bucharest after performing a series of bedside surgery interventions on newborns with congenital diaphragmatic hernia (CDH). We evaluate the advantages, complications, immediate and long-term outcome as well as the morbidity. Methods: We conducted a retrospective analysis of the data for all patients operated on-site be-tween 2011 and 2020, in terms of pre- and post-operative stability, procedures performed, com-plications and outcomes. Results: Our study is based on data from ten cases of newborns, term or small for gestation age with birthweights ranging from 2300 to 3300 grams, operated, on average, on the fifth day of life. The main reasons for operating on-site were the hemodynamical instability and the need to ad-minister inhaled Nitic Oxide (iNO) and HFOV ventilation. There were no unforeseen events dur-ing surgery, no immediate postoperative complications and no surgery related mortality. One noticed drawback was the unfamiliarity of the surgery team with the new operating environment. Conclusions: Our experience indicates that bedside surgery improves the likelihood of survival for critically ill neonates suffering from CDH. No immediate complications could be associated with this practice. Keywords: congenital diaphragmatic hernia, severe pulmonary hypertension, bedside surgery, NICU infrastructure


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