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Delayed surgery for congenital diaphragmatic hernia

โœ Scribed by D. W. Goh; Mr. D. P. Drake; R. J. Brereton; E. M. Kiely; L. Spitz

Publisher
John Wiley and Sons
Year
1992
Tongue
English
Weight
347 KB
Volume
79
Category
Article
ISSN
0007-1323

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โœฆ Synopsis

The mortality rate was 33 per cent. Preoperative stabilization was achieved in 47 patients, all of whom survived initial treatment, although two died later. Stabilization could not be achieved in 20 neonates, all of whom died within 3 days of birth, 18 without undergoing operation and two after early repair. Intensive resuscitation with controlled, delayed operation for congenital diaphragmatic hernia gives long-term results similar to those of urgent operative repair. This approach avoids operation in the majority of those who subsequently die.

Before 1986, all neonates presenting t o this unit with congenital diaphragmatic hernia underwent urgent operative repair'-3. During 1986 this strategy of management was revised to one of preoperative stabilization followed by delayed operation. This report seeks t o assess the efficacy of this modification.

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