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

doi:10.1016/0022-3468(95)90042-X

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 journal › Article › peer-review

252 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 language	English (US)
Pages (from-to)	406-409
Number of pages	4
Journal	Journal of Pediatric Surgery
Volume	30
Issue number	3
DOIs	https://doi.org/10.1016/0022-3468(95)90042-X
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

Access to Document

10.1016/0022-3468(95)90042-X

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Cite this

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AU - Lipsitz, E.

AU - Stolar, C. J.H.

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AB - 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.

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