Abstract
Congenital diaphragmatic hernia (CDH) is a common prenatally diagnosed congenital abnormality. At birth the abdomen may appear scaphoid. Respiratory distress is present. After stabilization, diagnosis is confirmed through identification of abdominal contents (liver, bowel, stomach) above the hemidiaphragm. Respiratory failure may progress requiring treatment with extracorporeal membrane oxygenation (ECMO). Treatment is focused on improving pulmonary hypertension and avoiding further lung injury. Laparoscopic, thoracoscopic, or open approach can be used for repair with equal effectiveness.
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Zani A, Zani-Ruttenstock E, Pierro A. Advances in the surgical approach to congenital diaphragmatic hernia. Semin Fetal Neonatal Med. 2014;19(6):364–9.
Nasr A, Langer JC. Influence of location of delivery on outcome in neonates with congenital diaphragmatic hernia. J Pediatr Surg. 2011;46(5):814–6.
Odibo AO, Najaf T, Vachharajani A, Warner B, Mathur A, Warner BW. Predictors of the need for extracorporeal membrane oxygenation and survival in congenital diaphragmatic hernia: a center’s 10-year experience. Prenat Diagn. 2010;30(6):518–21.
Kitano Y, Lally KP, Lally PA. Late-presenting congenital diaphragmatic hernia. J Pediatr Surg. 2005;40(12):1839–43.
Dillon PW, Cilley RE, Mauger D, Zachary C, Meier A. The relationship of pulmonary artery pressure and survival in congenital diaphragmatic hernia. J Pediatr Surg. 2004;39(3):307–12.
Le LD, Keswani SG, Biesiada J, Lim FY, Kingma PS, Haberman BE, Frischer J, Habli M, Crombleholme TM. The congenital diaphragmatic hernia composite prognostic index correlates with survival in left-sided congenital diaphragmatic hernia. J Pediatr Surg. 2012;47(1):57–62.
Harting MT, Hollinger L, Tsao K, Putnam LR, Wilson JM, Hirschl RB, Skarsgard ED, Tibboel D, Brindle ME, Lally PA, Miller CC. Aggressive surgical management of congenital diaphragmatic hernia: worth the effort? A multicenter, prospective, cohort study. Ann Surg. 2018;267(5):977–82.
Putnam LR, Tsao K, Lally KP, Blakely ML, Jancelewicz T, Lally PA, Harting MT, Group CD. Minimally invasive vs open congenital diaphragmatic hernia repair: is there a superior approach? J Am Coll Surg. 2017;224(4):416–22.
Moss RL, Chen CM, Harrison MR. Prosthetic patch durability in congenital diaphragmatic hernia: a long-term follow-up study. J Pediatr Surg. 2001;36(1):152–4.
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McLaughlin, C.J., Hanke, R.E., Cilley, R.E. (2019). Congenital Diaphragmatic Hernia. In: Docimo Jr., S., Pauli, E. (eds) Clinical Algorithms in General Surgery . Springer, Cham. https://doi.org/10.1007/978-3-319-98497-1_119
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DOI: https://doi.org/10.1007/978-3-319-98497-1_119
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