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Congenital diaphragmatic hernia (Bochdaleck) with special reference to the prognostic influence of congenital cardiac and gastro-intestinal anomalies.

Authors
  • Thommesen, P
  • Hedemand, N
Type
Published Article
Journal
RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
Publication Date
Feb 01, 1975
Volume
122
Issue
2
Pages
156–160
Identifiers
PMID: 126907
Source
Medline
License
Unknown

Abstract

Of 29 patients with hernia Bochdaleck there were 11 in the non surgical group and 18 in the surgical group. 14 were operated in the first 24 hours of life, and 4 patients after that time. No patients in the non-surgical group survived. In patients who were operated upon in the first 24 hours of life, 5 survived, and after that time 3. In all cases the transthoracic approach was used. The investigation did not permit any safe judgement of the preoperative treatment. On these conditions multiple anomalies combined with prematurity and intrauterine asphyxia had some influence on, whether a patient lived so long, that an operation could take place. Gastro-intestinal anomalies had a certain prognostic significance in the postoperative period. In cured patients the severity of a complicating cardiac failure could be of some importance.

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