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

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

Research output: Contribution to journalArticle

250 Scopus citations

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 languageEnglish (US)
Pages (from-to)406-409
Number of pages4
JournalJournal of Pediatric Surgery
Volume30
Issue number3
DOIs
StatePublished - Mar 1995
Externally publishedYes

    Fingerprint

Keywords

  • Congenital diaphragmatic hernia
  • extracorporeal membrane oxygenation
  • persistent pulmonary hypertension

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health

Cite this