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Congenital Diaphragmatic Hernia Treated by Perinatal Stabilization
Author(s) -
Iwanaka Tadashi,
Tamura Masanori,
Tanaka Kiyoshi,
Komuro Hiroaki,
Tsuchida Yoshiaki,
Okai Takashi
Publication year - 1994
Publication title -
asia‐oceania journal of obstetrics and gynaecology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 0389-2328
DOI - 10.1111/j.1447-0756.1994.tb00435.x
Subject(s) - congenital diaphragmatic hernia , diaphragmatic hernia , medicine , diaphragmatic breathing , hernia , surgery , pregnancy , fetus , pathology , biology , genetics , alternative medicine
The delay of surgery in conjunction with high‐frequency oscillation ventilation combined with preoperative stabilization is a standard treatment for congenital diaphragmatic hernia neonates in the high‐risk group. A new protocol of perinatal stabilization with this preoperative stabilization has been developed at the University of Tokyo Hospital. The most important components of this method of perinatal stabilization are cesarean section and the injection of morphine and pancuronium through the umbilical vein prior to ligation of the umbilical cord. In order to benefit from this treatment, congenital diaphragmatic hernia patients should be diagnosed antenatally by ultrasonography and be delivered by cesarean section. This protocol of perinatal stabilization appears effective in congenital diaphragmatic hernia patients.