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Timing of surgery in congenital diaphragmatic hernia
Author(s) -
CHARLTON A. J.,
BRUCE J.,
DAVENPORT M.
Publication year - 1991
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/j.1365-2044.1991.tb09592.x
Subject(s) - medicine , extracorporeal membrane oxygenation , congenital diaphragmatic hernia , diaphragmatic hernia , surgery , diaphragmatic breathing , hernia , fetus , pregnancy , alternative medicine , pathology , biology , genetics
Summary Eighty‐six consecutive patients with congenital diaphragmatic hernia presenting within 6 hours of birth to a regional neonatal surgical unit were reviewed. Patients were managed under a policy of delayed surgery which has evolved during the 6‐year study period. Overall survival (to leave hospital) was 70.9%. There were only seven postoperative deaths (10.3% of operations). Analysis of the 25 deaths in the light of postmortem findings and published exclusion criteria indicates that the availability of extracorporeal membrane oxygenation would have made little difference to overall survival.