Work

Congenital diaphragmatic hernia: Survival treated with very delayed surgery, spontaneous respiration, and no chest tube

Year: 1995

Type: article

Abstract: 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 constant describes the evolution of this method of management of congenital diaphragmatic hernia.

Source: Journal of Pediatric Surgery

DOI: 10.1016/0022-3468(95)90042-x

Authors: J.T. Wung, R. Sahni, S.T. Moffitt, E. Lipsitz, C.J.H. Stolar

Institutions: Columbia University Irving Medical Center, Columbia University

Language: English

Topic: Congenital Diaphragmatic Hernia Studies

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,430