scholarly journals LUNG MECHANICS IN NEWBORN INFANTS WITH SEVERE CONGENITAL DIAPHRAGMATIC HERNIA (CDH) BEFORE AND AFTER SURGICAL REPAIR

1998 ◽  
Vol 44 (3) ◽  
pp. 437-437 ◽  
Author(s):  
A Dotta ◽  
F Savignoni ◽  
P Bagolan ◽  
A Nahom ◽  
A Trucchi ◽  
...  
2014 ◽  
Vol 49 (5) ◽  
pp. 700-705 ◽  
Author(s):  
Kate V. Dennett ◽  
Sarah Tracy ◽  
Laurie Oliver Taylor ◽  
David Zurakowski ◽  
Catherine Chen

PEDIATRICS ◽  
1996 ◽  
Vol 97 (6) ◽  
pp. 810-810

This report suggests that stabilization of the intrauterine to extrauterine transitional circulation, combined with a respiratory care strategy that avoids pulmonary overdistension, takes advantage of inherent biological cardiorespiratory mechanics, and very delayed surgery for congenital diaphragmatic hernia results in improved survival and decreases the need for extracorporeal membrane oxygenation (ECMO). This retrospective review of a 10-year experience in which the respiratory care strategy, ECMO availability, and technique of surgical repair remained essentially contant describes the evolution of this method of management of congenital diaphragmatic hernia.


2017 ◽  
Vol 05 (01) ◽  
pp. e51-e54
Author(s):  
Zbyněk Straňák ◽  
Karel Pýcha ◽  
Simona Feyereislova ◽  
Jaroslav Feyereisl ◽  
Michal Rygl

Background Delayed surgery after stabilization of infants with congenital diaphragmatic hernia (CDH) is an accepted strategy. However, the evidence favoring delayed versus immediate surgical repair is limited. We present an extremely rare case of a very low-birth-weight infant with prenatally diagnosed left-sided CDH and unexpected transmural bowel perforations developing within the postnatal stabilization period. Case Report A neonate born at 31st week of gestation with a birth weight of 1,470 g with antenatally diagnosed left-sided CDH presented with bowel dilation leading to transmural bowel perforations on the 2nd day of life. Meconium pleuroperitonitis resulted in severe systemic inflammatory response syndrome, pulmonary hypertension, multiple organ failure, and death. Conclusion In neonates with CDH deteriorating under standard postnatal management, intestinal perforation, and early surgical intervention should be considered.


1987 ◽  
Vol 111 (3) ◽  
pp. 432-438 ◽  
Author(s):  
Hirokazu Sakai ◽  
Masanori Tamura ◽  
Yuhei Hosokawa ◽  
A. Charles Bryan ◽  
Geoffrey A. Barker ◽  
...  

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