RT Book, Section
A1 Linden, Bradley C.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105847165
T1 Long-Term Outcomes After a Congenital Diaphragmatic Hernia Repair: Implications for Adult Thoracic Surgeons
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105847165
RD 2024/04/24
AB Survival  of  infants  born  with  congenital  diaphragmatic  hernias  (CDHs),  as  with  many  other  anomalies  in  pediatrics,  has  steadily  improved  over  the  last  three  decades  owing  to  advances  in  critical  care  medicine,  as  well  as  surgical  technique.  While  early  attempts  to  repair  CDH  were  made  in  emergent  fashion,  recognition  that  the  life-threatening  issue  was  not  mechanical  compression  of  the  lungs  or  mediastinal  structures,  but  disordered  pulmonary  vascular  reactivity,  has  been  the  major  advance  in  improving  survival  and  outcomes.  There  is  wide  variation  in  the  technical  approach  to  the  repair  of  these  anomalies  including  variability  in  pre-  and  postoperative  care,  timing  of  the  operation,  abdominal  or  thoracic  operative  approach,  and  choice  of  prosthetic  material  for  closure.  The  intent  of  this  chapter  is  to  provide  the  adult  thoracic  surgeon  with  a  reference  for  review  of  the  current  management  of  CDH  and  discuss  the  impact  of  having  these  diaphragmatic  defects  repaired  as  an  infant  or  child  on  general  thoracic  anomalies/procedures  in  the  adult.