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Delayed Surgery for Congenital Diaphragmatic Hernia

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Title: Delayed Surgery for Congenital Diaphragmatic Hernia
Authors: Kurosaki, Nobuko / Ohbatake, Masayuki / Ashizuka, Shuichi / Hisamatsu, Takashi / Ayabe, Hiroyoshi / Fukuda, Masafumi / Masuzaki, Hideaki
Issue Date: 30-Jun-1998
Citation: Acta medica Nagasakiensia. 1998, 43(1-2), p.55-57
Abstract: Infants with congenital diaphragmatic hernia (CDH) operated on at 12 hours of age have poor prognosis. Development of severe hypoxemia due to hypoplastic lung and pulmonary vascular constriction is the major prognostic factor. Infants who show reasonable gas exchange at first but develop severe hypoxemia a few hours following surgery (honeymoon period) may have benefited from delayed radical surgery. During the waiting period, the patient should be kept on a minimal handling and stabilizing protocol. In our institute, 24 CDH patients were treated from 1970 to 1995. These patients were divided into two groups : group I (n = 11) was the first stage (1970-1984), group II (n = 13) was the second stage (1985-1995). The total survival rate of these two groups did not improve. However our experience with the last six cases using this stabilizing protocol between 1989 and 1995 suggests that delayed repair surgery for CDH improved the survival rate. The survival rate changed from 33.3% in group I to 44.4% in group II. We report our cases, including clinical status, surgical findings and treatments.
Keywords: congenital diaphragmatic hernia / delayed surgery
URI: http://hdl.handle.net/10069/16106
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 43, No. 1-2

Citable URI : http://hdl.handle.net/10069/16106

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