HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): Bradley M. Rodgers Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Mallik, K. Articles by McGahren, E. D. Search for Related Content PubMed PubMed Citation Articles by Mallik, K. Articles by McGahren, E. D.

Ann Thorac Surg 1995;60:1331-1335
© 1995 The Society of Thoracic Surgeons

---

Original Articles: General Thoracic

Congenital Diaphragmatic Hernia: Experience in a Single Institution From 1978 Through 1994

Division of Pediatric Surgery, Department of Surgery, University of Virginia Health Sciences Center, Charlottesville, Virginia

Background. Congenital diaphragmatic hernia continues to be a difficult management problem. Essentially all information on the condition has been compiled in a retrospective manner due to the individualized care that each infant must undergo. We contribute a review of our patients to add to the current fund of knowledge and to assess our experience before and since the introduction of extracorporeal membrane oxygenation in our institution.

Methods. This is a review of records of infants with congenital diaphragmatic hernia treated from 1978 through 1994. Repair has generally been accomplished early with only one repair being accomplished with an infant placed on extracorporeal membrane oxygenation preoperatively.

Results. Overall survival was 63%. Survival was 42% before extracorporeal membrane oxygenation becoming available in our region in 1986, and 75% afterward. Since 1986, 16 of 33 (48%) infants have required extracorporeal membrane oxygenation and 73% have survived.

Conclusions. Overall survival in our series is comparable with that of other reported series. There appears to be an improvement in survival since the introduction of extracorporeal membrane oxygenation. Our present practice of early repair, and postrepair extracorporeal membrane oxygenation if needed, results in a survival rate comparable with that of currently available series reports regardless of the method of treatment reported.

This article has been cited by other articles:

				J. Colvin, C. Bower, J. E. Dickinson, and J. Sokol Outcomes of Congenital Diaphragmatic Hernia: A Population-Based Study in Western Australia Pediatrics, September 1, 2005; 116(3): e356 - e363. [Abstract] [Full Text] [PDF]

				T. P. Stevens, P. R. Chess, K. M. McConnochie, R. A. Sinkin, R. Guillet, W. M. Maniscalco, and S. G. Fisher Survival in Early- and Late-Term Infants With Congenital Diaphragmatic Hernia Treated With Extracorporeal Membrane Oxygenation Pediatrics, September 1, 2002; 110(3): 590 - 596. [Abstract] [Full Text] [PDF]

				J. B Zwischenberger and S. K Alpard Artificial lungs: a new inspiration Perfusion, July 1, 2002; 17(4): 253 - 268. [Abstract] [PDF]