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Fetal surgery for congenital diaphragmatic hernia
1Department of Surgery, Wayne State University, Detroit, MI, USA.
Seminars in Pediatric Surgery
|November 1, 1996
Summary
Fetal surgery for congenital diaphragmatic hernia (CDH) remains controversial. Despite advances, it has not improved outcomes, though tracheal ligation shows promise for accelerating fetal lung growth.
Area of Science:
- Perinatal medicine
- Pediatric surgery
- Fetal therapy
Background:
- Congenital diaphragmatic hernia (CDH) can cause severe pulmonary hypoplasia, leading to significant morbidity and mortality in newborns.
- Despite advances in neonatal care like ECMO and ventilation, their impact on severe CDH outcomes is not convincingly proven.
- Fetal intervention for CDH has faced challenges and has not yet improved the natural history of the disease.