Controversies on Management of Congenital Diaphragmatic Hernias
M. Harun Gursoy1, MD, Ugur Koltuksuz1, MD
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Abstract
The principles of management in congenital diaphragmatic hernia (CDH) cover a high degree of controversy that is still going on. During the first 30 years of this century, the treatment for neonates with congenital diaphragmatic hernia was conservative and inevitably the mortality was very high. Many changes have occurred up to now for congenital diaphragmatic hernia patients regarding subgroups of the etiology, pathophysiology, and treatment. Mainly, researches are going on trying to determine the best time for surgery, the most appropriate type of preoperative and postoperative ventilation, and extracorporeal membrane oxygenation (ECMO), the feasibility of fetal surgery, and measures to predict outcome. The basic controversies do not seem to resolve in the near future for congenital diaphragmatic hernias. [Journal of Turgut Ozal Medical Center 1997;4(1):123-128]
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