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.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 406-409 |
| Number of pages | 4 |
| Journal | Journal of Pediatric Surgery |
| Volume | 30 |
| Issue number | 3 |
| DOIs | |
| State | Published - Mar 1995 |
| Externally published | Yes |
Keywords
- Congenital diaphragmatic hernia
- extracorporeal membrane oxygenation
- persistent pulmonary hypertension
ASJC Scopus subject areas
- Surgery
- Pediatrics, Perinatology, and Child Health
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Cite this
Wung, J. T., Sahni, R., Moffitt, S. T., Lipsitz, E., & Stolar, C. J. H. (1995). Congenital diaphragmatic hernia: Survival treated with very delayed surgery, spontaneous respiration, and no chest tube. Journal of Pediatric Surgery, 30(3), 406-409. https://doi.org/10.1016/0022-3468(95)90042-X