Successful Repair in Utero of a Fetal Diaphragmatic Hernia after Removal of Herniated Viscera from the Left Thorax
Authors:
- N. Scott AdzickNAN. Scott Adzick
- Michael T. LongakerMLMichael T. Longaker
- James D. GoldbergJGJames D. Goldberg
- Mark A. RosenMRMark A. Rosen
- Roy A. FillyRFRoy A. Filly
- Mark I. EvansMEMark I. Evans
- Mitchell S. GolbusMGMitchell S. Golbus
Open Access
- 31 May 1990
- journal article
- research article
- Published by Massachusetts Medical Society in New England Journal of Medicine
- Vol. 322 (22) , 1582-1584
Abstract
MOST infants with congenital diaphragmatic hernia die because their lungs are inadequate to support extrauterine life. This remains true despite advances in postnatal care, including preoperative stabilization,1 , 2 pharmacologic treatment of persistent pulmonary hypertension of the newborn,3 , 4 and temporary support with extracorporeal membrane oxygenation.5 , 6 Recently, prenatal diagnosis has allowed us to define the natural history of fetal diaphragmatic hernia better: approximately 75 percent of fetuses with congenital diaphragmatic hernia detected before birth die despite optimal postnatal care.7 8 9 10 11Keywords
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