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Care of the fetus/newborn with congenital diaphragmatic hernia

Published online by Cambridge University Press:  10 October 2008

Duncan T Wilcox
Affiliation:
Departments of Surgery and Pediatrics, State University of New York at Buffalo, Buffalo New York, USA.
Hratch L Karamanoukian
Affiliation:
Departments of Surgery and Pediatrics, State University of New York at Buffalo, Buffalo New York, USA.
Philip L Glick*
Affiliation:
Departments of Surgery and Pediatrics, State University of New York at Buffalo, Buffalo New York, USA.
*
Philip L Glick MD, Buffalo Institute of Fetal Therapy, Children’s Hospital of Buffalo, State University of New York at Buffalo, 219 Bryant Street, Buffalo NY 14222, USA

Extract

Congenital diaphragmatic hernia (CDH) is a simple anatomical defect. The reported incidence is between 1:2000 and 1:5000 live births, with the majority affecting the left side. A defect in the diaphragm allows abdominal viscera to herniate into and stay within the thoracic cavity during crucial stages of lung development. This results in pulmonary hypoplasia, a reduction in pulmonary vascular branching and an alteration in the surfactant system.

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Type
Articles
Copyright
Copyright © Cambridge University Press 1994

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