Prenatal Surgery for Congenital Diaphragmatic Hernia

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Fetal surgery for severe congenital diaphragmatic hernia?

Some fetal abnormalities, such as abdominal wall defects, are amenable to postnatal surgical correction with good results1. In other conditions, however, the survival rate after postnatal surgery is relatively poor. In congenital diaphragmatic hernia (CDH), for example, this is because intrathoracic herniation of the abdominal viscera compromises the development of the fetal lungs, this being e...

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[Prenatal diagnosis of congenital diaphragmatic hernia: an update].

Congenital diaphragmatic hernia (CDH) has an incidence of approximately 1:4000 live births. Most frequently the diaphragmatic defect is a left and posterolateral (Bochdalek) one. Prenatal diagnosis is made at ultrasonography; the relevant sonographic features will be described in the paper. Cystic adenomatoid malformation of the lung (CAML), pulmonary sequestration, bronchogenic cysts, pulmonar...

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Prenatal prediction of pulmonary arterial hypertension in congenital diaphragmatic hernia.

OBJECTIVE To evaluate the role of prenatal prognostic markers obtained routinely by ultrasound examination and magnetic resonance imaging (MRI) in the prediction of development of postnatal pulmonary arterial hypertension (PAH) in isolated congenital diaphragmatic hernia (CDH). METHODS One hundred and ten cases of isolated CDH were referred to our fetal medicine unit between January 2004 and ...

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Evidence-Based Prenatal Management in Cases of Congenital Diaphragmatic Hernia

Congenital diaphragmatic hernia (CDH) is the most common defect of the diaphragmatic muscle that separates the thoracic cavity from the abdominal cavity. This malformation allows part of the abdominal structures (intestinal loops, stomach and liver) to herniate into the thoracic cavity, hampering the normal development of the lung and resulting in abnormalities in cardiac function (Santos et al...

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Congenital diaphragmatic hernia.

Congenital diaphragmatic hernia (CDH) can be one of the most clinically challenging neonatal conditions. It occurs in 1 in 2-5000 live births in the UK with no predominance between the sexes. Herniation of abdominal contents into the thorax occurs, however it is the concomitant pulmonary hypoplasia and pulmonary hypertension that can be fatal. CDH was first described as an incidental finding at...

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ژورنال

عنوان ژورنال: Asian Journal of Surgery

سال: 2003

ISSN: 1015-9584

DOI: 10.1016/s1015-9584(09)60314-6