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Preoperative stabilisation in congenital diaphragmatic hernia
L K Shanbhogue1, P K Tam, G Ninan
1Institute of Child Health, University of Liverpool.
Archives of Disease in Childhood
|October 1, 1990
Summary
Delayed surgery for congenital diaphragmatic hernia in newborns showed no significant difference in survival rates compared to early operations. This suggests that delaying surgery is not detrimental for these infants.
Area of Science:
- Pediatric Surgery
- Neonatal Care
Background:
- Congenital diaphragmatic hernia (CDH) is a serious condition in newborns.
- Optimal timing for surgical intervention in CDH remains a topic of discussion.
Purpose of the Study:
- To compare the survival outcomes of early versus delayed surgical repair in infants with congenital diaphragmatic hernia.
Main Methods:
- Retrospective analysis of two groups of infants with CDH.
- Group 1: Early operation (mean age 7 hours).
- Group 2: Delayed operation (mean stabilization 40 hours).
Main Results:
- No statistically significant difference in survival rates was observed between the early and delayed operation groups.
- Infants undergoing delayed surgery for CDH did not experience worse outcomes.
Conclusions:
- Delayed surgical intervention for congenital diaphragmatic hernia is a viable option.
- Timing of surgery does not appear to negatively impact survival in neonates with CDH.