Congenital diaphragmatic hernia in the neonates-review od
10-year experience

k 2016

Congenital diaphragmatic hernia in the neonates-review od 10-year experience

PINKASOVÁ, Tereza, Linda SKUTKOVÁ, Jan PAPEŽ, Petr JABANDŽIEV, Ladislav PLÁNKA et. al.

Basic information

Original name

Congenital diaphragmatic hernia in the neonates-review od 10-year experience

Authors

PINKASOVÁ, Tereza (203 Czech Republic, guarantor, belonging to the institution), Linda SKUTKOVÁ (203 Czech Republic, belonging to the institution), Jan PAPEŽ (203 Czech Republic, belonging to the institution), Petr JABANDŽIEV (203 Czech Republic, belonging to the institution), Ladislav PLÁNKA (203 Czech Republic, belonging to the institution) and Jiří TŮMA (203 Czech Republic, belonging to the institution)

Edition

WOFAPS 2016, 2016

Other information

Language

English

Type of outcome

Prezentace na konferencích

Field of Study

30209 Paediatrics

Country of publisher

United States of America

Confidentiality degree

není předmětem státního či obchodního tajemství

RIV identification code

RIV/00216224:14110/16:00091370

Organization unit

Faculty of Medicine

Keywords in English

Congenital diaphragmatic hernia

Abstract

V originále

AIM: The prognosis of the children with CDH remains unsatisfactory despite recent advances in medical and surgical treatment including gore-tex patches. In our poster we would like to point to the importance of interdisciplinary collaboration including gynecologist, obstertician, neonatologist and surgeon. METHODS: We retrospectively reviewed medical records of neonates with CDH admitted to the University Hospital Brno. Prenatal and postnatal factors, birth details, managment were studied. RESULTS: We admitted 29 neonates with CDH who fullified the study criterias. 28 patients /97%/ had left-sided Bochdalek hernia, only 1 patient had right-sided Morgagni hernia. The mean gestational age was 37,5 weeks /range 31.-41.wA 9 neonates /33%/were prenatally diagnosed by using ultrasound or MRI and therefore they were delivered in the tertiary perinatal centre. The operation was performed in almost all of the patiens the first day. Average duration of the mechanical ventilation was 8,5 days, a severe pulmonary hypertension developed in 5 patients with the need of high frequency oscilatory ventilation. Two neonates died in early postoperative period. The reoperation was needed in 3 patients during the neonatal period. CONCLUSION: The surgery after birth is not an emergency and is usually performed when the baby has stabilized. In our review the size of the defect wasn't the determing factor for the mortality rate which was 7% in our case. We have learned that the severity and outcome is determined by 3 factors - other associated malformations, pulmonary hypertension and low gestational age .

Citovat

PINKASOVÁ, Tereza, Linda SKUTKOVÁ, Jan PAPEŽ, Petr JABANDŽIEV, Ladislav PLÁNKA and Jiří TŮMA. Congenital diaphragmatic hernia in the neonates-review od 10-year experience. In WOFAPS 2016. 2016.

@proceedings{1358322,
   author = {Pinkasová, Tereza and Skutková, Linda and Papež, Jan and Jabandžiev, Petr and Plánka, Ladislav and Tůma, Jiří},
   booktitle = {WOFAPS 2016},
   keywords = {Congenital diaphragmatic hernia},
   language = {eng},
   title = {Congenital diaphragmatic hernia in the neonates-review od 10-year experience},
   year = {2016}
}

TY  - CONF
ID  - 1358322
AU  - Pinkasová, Tereza - Skutková, Linda - Papež, Jan - Jabandžiev, Petr - Plánka, Ladislav - Tůma, Jiří
PY  - 2016
TI  - Congenital diaphragmatic hernia in the neonates-review od 10-year experience
KW  - Congenital diaphragmatic hernia
N2  - AIM: The prognosis of the children with CDH remains unsatisfactory despite recent advances in medical and surgical treatment including gore-tex patches. In our poster we would like to point to the importance of interdisciplinary collaboration including gynecologist, obstertician, neonatologist and surgeon. METHODS: We retrospectively reviewed medical records of neonates with CDH admitted to the University Hospital Brno. Prenatal and postnatal factors, birth details, managment were studied. RESULTS: We admitted 29 neonates with CDH who fullified the study criterias. 28 patients /97%/ had left-sided Bochdalek hernia, only 1 patient had right-sided Morgagni hernia. The mean gestational age was 37,5 weeks /range 31.-41.wA 9 neonates /33%/were prenatally diagnosed by using ultrasound or MRI and therefore they were delivered in the tertiary perinatal centre. The operation was performed in almost all of the patiens the first day. Average duration of the mechanical ventilation was 8,5 days, a severe pulmonary hypertension developed in 5 patients with the need of high frequency oscilatory ventilation. Two neonates died in early postoperative period. The reoperation was needed in 3 patients during the neonatal period. CONCLUSION: The surgery after birth is not an emergency and is usually performed when the baby has stabilized. In our review the size of the defect wasn't the determing factor for the mortality rate which was 7% in our case. We have learned that the severity and outcome is determined by 3 factors - other associated malformations, pulmonary hypertension and low gestational age .
ER  -

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