Experiences in the Perinatal Management of Congenital Diaphragmatic Hernia during the Last 15 Years in a Tertiary Referral Institute

2007 ◽  
Vol 22 (3) ◽  
pp. 209-216 ◽  
Author(s):  
Ágnes Harmath ◽  
Júlia Hajdú ◽  
Erik Hauzman ◽  
Barbara Pete ◽  
Zsófia Róna ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Tertiary Referral ◽  
Perinatal Management

Changing Perspectives on the Perinatal Management of Isolated Congenital Diaphragmatic Hernia in Europe

2009 ◽  
Vol 36 (2) ◽  
pp. 329-347 ◽  
Author(s):  
Jan A. Deprest ◽  
Eduardo Gratacos ◽  
Kypros Nicolaides ◽  
Elise Done ◽  
Tim Van Mieghem ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Perinatal Management

Outcomes for Prenatally Diagnosed Right Congenital Diaphragmatic Hernia

2015 ◽  
Vol 47 (1) ◽  
pp. 1-6 ◽  
Author(s):  
Corey W. Iqbal ◽  
S. Christopher Derderian ◽  
Leslie Lusk ◽  
Amaya Basta ◽  
Roy A. Filly ◽  
...  
Keyword(s):  
Survival Rate ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Retrospective Review ◽  
Prognostic Indicators ◽  
Tertiary Referral ◽  
Fetal Intervention ◽  
Tertiary Referral Center ◽  
Referral Center ◽  
Overall Mortality

Background: Right congenital diaphragmatic hernia (CDH) occurs less frequently than left CDH. Therefore, prognostic indicators for right CDH are not as well studied as for left CDH. Methods: A retrospective review from a single, tertiary referral center (from 1994 until July 2013) of patients with unilateral right CDH was conducted. Prenatal characteristics were evaluated and correlated with survival to discharge and need for extracorporeal membranous oxygen (ECMO). Results: In total, 34 patients were identified. There were 12 postnatal deaths and 2 fetal demises (6%), representing an overall mortality of 41%. Six patients required ECMO. Nine patients underwent fetal intervention and were analyzed separately. For patients not undergoing fetal intervention, the survival rate was 52% and a higher mean (±SD) lung-to-head ratio (LHR) was associated with survival (1.1 ± 0.4 vs. 0.8 ± 0.2, p = 0.03). There were no deaths or need for ECMO in any patient with an LHR ≥1.0. Of the 9 patients who underwent fetal intervention, survival was 78% and only 1 patient required ECMO. Fetal intervention was primarily tracheal occlusion (n = 8). Conclusions: An LHR <1.0 is associated with worse survival for right CDH and may also reflect the need for ECMO.

Perinatal management and outcome of prenatally diagnosed congenital diaphragmatic hernia: a 1995-2000 series in Rennes University Hospital

2002 ◽  
Vol 22 (11) ◽  
pp. 988-994 ◽  
Author(s):  
Pierre Bétrémieux ◽  
Stéphanie Lionnais ◽  
Alain Beuchée ◽  
Patrick Pladys ◽  
Gwénaelle Le Bouar ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
University Hospital ◽  
Perinatal Management

scholarly journals The current obstetrical and perinatal management of congenital diaphragmatic hernia

2021 ◽  
Vol 16 (S4) ◽  
pp. 21-26
Author(s):  
Bianca Mihaela DANCIU ◽  
◽  
Vlad DIMA ◽  
Dora BOGHIȚOIU ◽  
Ana Maria Alexandra STĂNESCU ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Research Data ◽  
Multidisciplinary Management ◽  
Severe Condition ◽  
Perinatal Management ◽  
Genetic And Environmental Factors

Congenital diaphragmatic hernia is a severe condition with an etiology and pathogenesis still been developed; also, the involvement of genetic and environmental factors in the occurrence of this malformation is under study. Morbi-mortality in these patients is high, and quality of life is diminished. Under these circumstances, careful follow-up of the pregnancy and multidisciplinary management after birth is needed to diagnose the malformation as early as possible and adapt the therapeutic plan to the particularities of each case. In conclusion, despite several research data in the literature concerning this topic, the management of newborn babies with congenital diaphragmatic hernia remains a severe challenge. The treatment of congenital diaphragmatic hernia remains the prerogative of overqualified teams.

Associated malformations in congenital diaphragmatic hernia cases in the last 15 years in a tertiary referral institute

2006 ◽  
Vol 140A (21) ◽  
pp. 2298-2304 ◽  
Author(s):  
Ágnes Harmath ◽  
Júlia Hajdú ◽  
Ákos Csaba ◽  
Erik Hauzman ◽  
Barbara Pete ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Diaphragmatic Hernia ◽  
Tertiary Referral ◽  
Associated Malformations
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