Reprinted from Annals of Surgery
نویسنده
چکیده
Congenital diaphragmatic hernia producing symptoms in the newborn period should be dealt with as a surgical emergency. In spite of the fact that untreated diaphraglnatic hernias are not uniformly fatal, the mortality is so high during the neo-natal period in untreated patients as to place this lesion, in our opinion, in the category of congenital anomalies incompatible with life, but amenable to surgical correction. Many infants with a diaphagmatic hernia are in great distress, and the decision to operate upon them is not a difficult one. However, some newborn infants have a period of temporary improvement with the administration of oxygen or after aspiration of mucus from the nasopharynx, and the temptation to postpone operation may become great. One never knows when the delicate balance in cardiorespiratory reserve may be upset by further crowding of abdominal viscera into the thorax, with consequent shift of the mediastinum. There would therefore seem to be no excuse for postponement of surgery in infants with diaphragmatic hernias, either to await growth of the child, or improvement of the symptoms and signs caused by the lesion itself. The subject of congenital diaphragmatic hernia has been well covered in the surgical literature.14 These lesions seem to be re-
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