先天性膈疝的手术方法。

IF 1.4 3区医学 Q3 PEDIATRICS

Seminars in Pediatric Surgery Pub Date : 2024-07-02 DOI:10.1016/j.sempedsurg.2024.151441

Sarah King , Benjamin D.E. Carr , George B. Mychaliska , Joseph T. Church

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引用次数: 0

摘要

手术修复膈肌对先天性膈疝（CDH）患者的生存至关重要。围绕手术有很多考虑因素：手术的原因、最佳修复时机及其与体外生命支持系统（ECLS）使用的关系、微创方法与开放方法以及重建策略。手术既受这些婴儿生理机能的影响，也影响其生理机能，是决定长期疗效的重要因素。在此，我们将围绕这一复杂的决策、技术要点和 CDH 修复的结果讨论相关证据并提供见解。

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Surgical approaches to congenital diaphragmatic hernia

Surgical repair of the diaphragm is essential for survival in congenital diaphragmatic hernia (CDH). There are many considerations surrounding the operation – why the operation matters, optimal timing of repair and its relation to extracorporeal life support (ECLS) use, minimally invasive versus open approaches, and strategies for reconstruction. Surgery is both affected by, and affects, the physiology of these infants and is an important factor in determining long-term outcomes. Here we discuss the evidence and provide insight surrounding this complex decision making, technical pearls, and outcomes in repair of CDH.

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来源期刊

Seminars in Pediatric Surgery PEDIATRICS-SURGERY

CiteScore

2.80

自引率

5.90%

发文量

审稿时长

>12 weeks

期刊介绍： Seminars in Pediatric Surgery provides current state-of-the-art reviews of subjects of interest to those charged with the surgical care of young patients. Each bimontly issue addresses a single topic with articles written by the experts in the field. Guest editors, all noted authorities, prepare each issue.