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Possibilities and limits in the treatment of congenital diaphragmatic hernia

Abstract Aim: to establish a therapeutic strategy that will improve the prognosis and increase the survival rate in congenital diaphragmatic hernia. Material and method: 14 congenital diaphragmatic hernias (incidence 1/1597 live births, 12 boys and 2 girls with a sex ratio of 6/1, 10 term infants an...

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Autores principales: Georgescu, R, Chiuţu, L, Nemeş, R, Georgescu, I, Stoica, A, Georgescu, E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Carol Davila University Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4233455/
https://www.ncbi.nlm.nih.gov/pubmed/25408771
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author Georgescu, R
Chiuţu, L
Nemeş, R
Georgescu, I
Stoica, A
Georgescu, E
author_facet Georgescu, R
Chiuţu, L
Nemeş, R
Georgescu, I
Stoica, A
Georgescu, E
author_sort Georgescu, R
collection PubMed
description Abstract Aim: to establish a therapeutic strategy that will improve the prognosis and increase the survival rate in congenital diaphragmatic hernia. Material and method: 14 congenital diaphragmatic hernias (incidence 1/1597 live births, 12 boys and 2 girls with a sex ratio of 6/1, 10 term infants and 4 preterm first degree, 11 natural births and 3 by caesarean section) admitted to the Clinic of Pediatric Surgery Craiova, in a 5-year period (2007-2012), were analyzed from the therapeutic point of view. The "tension free" primary suture was the main surgical procedure to repair the diaphragmatic defect in all cases, preceded by a period of preoperative resuscitation and stabilization (2.8 days on average). Results: We registered a survival rate of 64.29% and a postoperative mortality rate of 35.71%. Conclusions: delayed surgery preceded by a period of the preoperative respiratory resuscitation and stabilization (24-72 hours on average) significantly reduced postoperative mortality and increased the survival rate.
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spelling pubmed-42334552014-11-18 Possibilities and limits in the treatment of congenital diaphragmatic hernia Georgescu, R Chiuţu, L Nemeş, R Georgescu, I Stoica, A Georgescu, E J Med Life Case Presentation Abstract Aim: to establish a therapeutic strategy that will improve the prognosis and increase the survival rate in congenital diaphragmatic hernia. Material and method: 14 congenital diaphragmatic hernias (incidence 1/1597 live births, 12 boys and 2 girls with a sex ratio of 6/1, 10 term infants and 4 preterm first degree, 11 natural births and 3 by caesarean section) admitted to the Clinic of Pediatric Surgery Craiova, in a 5-year period (2007-2012), were analyzed from the therapeutic point of view. The "tension free" primary suture was the main surgical procedure to repair the diaphragmatic defect in all cases, preceded by a period of preoperative resuscitation and stabilization (2.8 days on average). Results: We registered a survival rate of 64.29% and a postoperative mortality rate of 35.71%. Conclusions: delayed surgery preceded by a period of the preoperative respiratory resuscitation and stabilization (24-72 hours on average) significantly reduced postoperative mortality and increased the survival rate. Carol Davila University Press 2014-09-15 2014-09-25 /pmc/articles/PMC4233455/ /pubmed/25408771 Text en ©Carol Davila University Press http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Presentation
Georgescu, R
Chiuţu, L
Nemeş, R
Georgescu, I
Stoica, A
Georgescu, E
Possibilities and limits in the treatment of congenital diaphragmatic hernia
title Possibilities and limits in the treatment of congenital diaphragmatic hernia
title_full Possibilities and limits in the treatment of congenital diaphragmatic hernia
title_fullStr Possibilities and limits in the treatment of congenital diaphragmatic hernia
title_full_unstemmed Possibilities and limits in the treatment of congenital diaphragmatic hernia
title_short Possibilities and limits in the treatment of congenital diaphragmatic hernia
title_sort possibilities and limits in the treatment of congenital diaphragmatic hernia
topic Case Presentation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4233455/
https://www.ncbi.nlm.nih.gov/pubmed/25408771
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