TY - CHAP M1 - Book, Section TI - Long-Term Outcomes After a Congenital Diaphragmatic Hernia Repair: Implications for Adult Thoracic Surgeons 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 Y1 - 2015 N1 - T2 - Adult Chest Surgery, 2e 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. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105847165 ER -