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.
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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
Original language English
Type of outcome Presentations at conferences
Field of Study 30209 Paediatrics
Country of publisher United States of America
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/16:00091370
Organization unit Faculty of Medicine
Keywords in English Congenital diaphragmatic hernia
Tags EL OK
Changed by Changed by: Soňa Böhmová, učo 232884. Changed: 27/10/2016 14:23.
Abstract
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 .
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