Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making
Aims: To compare surgical results for congenital diaphragmatic hernia (CDH) in two Scandinavian university hospitals and to evaluate the effects of abortions on the clinical profile of CDH in Iceland. Methods: A retrospective study including all CDH-cases in Iceland 1983-2002 and children referred t...
Main Authors: | , , , , , |
---|---|
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Finnish Surgical Society
2008
|
Subjects: | |
Online Access: | https://lup.lub.lu.se/record/1183170 |
id |
ftulundlup:oai:lup.lub.lu.se:3f4f3413-62c5-4c67-9982-f1e351fe520a |
---|---|
record_format |
openpolar |
spelling |
ftulundlup:oai:lup.lub.lu.se:3f4f3413-62c5-4c67-9982-f1e351fe520a 2023-05-15T16:45:34+02:00 Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making Gudbjartsson, T Gunnarsdottir, Anna Topan, C Z Larsson, Lars Torsten Rosmundsson, Th Dagbjartsson, A 2008 https://lup.lub.lu.se/record/1183170 eng eng Finnish Surgical Society https://lup.lub.lu.se/record/1183170 wos:000254267200010 scopus:41349087963 Scandinavian Journal of Surgery; 97(1), pp 71-76 (2008) ISSN: 1799-7267 Surgery prenatal counselling survival incidence congenital diaphragmatic hernia abortion children contributiontojournal/article info:eu-repo/semantics/article text 2008 ftulundlup 2023-02-01T23:32:37Z Aims: To compare surgical results for congenital diaphragmatic hernia (CDH) in two Scandinavian university hospitals and to evaluate the effects of abortions on the clinical profile of CDH in Iceland. Methods: A retrospective study including all CDH-cases in Iceland 1983-2002 and children referred to Lund University Hospital 1993-2002. Aborted fetuses with CDH from a nation-wide Icelandic abort-registry were also included. Results: In Iceland, 19 out of 23 children with CDH were diagnosed < 24 hours from delivery, one with associated anomalies. Eight fetuses were diagnosed prenatally and seven of them aborted, three having isolated CDH at autopsy. In Iceland, 15 of 18 children operated on survived surgery (83% operative survival). In Lund 28 children were treated with surgery, 23 of them diagnosed early after birth or prenatally. Four children did not survive surgery (86% operative survival) and 9 (31%) had associated anomalies. All the discharged children treated in Iceland and Lund are alive, 3-22 years postoperatively. Conclusion: CDH is a serious anomaly where morbidity and mortality is directly related to other associated anomalies and pulmonary hypoplasia. However, majority of CDH patients do not have other associated anomalies. In spite of improved surgical results (operative mortality < 20%), a large proportion of pregnancies complicated with CDH are terminated. We conclude that the improved survival rate after corrective surgery must be emphasized when giving information to parents regarding abortion of fetuses with a prenatally diagnosed CDH. Article in Journal/Newspaper Iceland Lund University Publications (LUP) |
institution |
Open Polar |
collection |
Lund University Publications (LUP) |
op_collection_id |
ftulundlup |
language |
English |
topic |
Surgery prenatal counselling survival incidence congenital diaphragmatic hernia abortion children |
spellingShingle |
Surgery prenatal counselling survival incidence congenital diaphragmatic hernia abortion children Gudbjartsson, T Gunnarsdottir, Anna Topan, C Z Larsson, Lars Torsten Rosmundsson, Th Dagbjartsson, A Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making |
topic_facet |
Surgery prenatal counselling survival incidence congenital diaphragmatic hernia abortion children |
description |
Aims: To compare surgical results for congenital diaphragmatic hernia (CDH) in two Scandinavian university hospitals and to evaluate the effects of abortions on the clinical profile of CDH in Iceland. Methods: A retrospective study including all CDH-cases in Iceland 1983-2002 and children referred to Lund University Hospital 1993-2002. Aborted fetuses with CDH from a nation-wide Icelandic abort-registry were also included. Results: In Iceland, 19 out of 23 children with CDH were diagnosed < 24 hours from delivery, one with associated anomalies. Eight fetuses were diagnosed prenatally and seven of them aborted, three having isolated CDH at autopsy. In Iceland, 15 of 18 children operated on survived surgery (83% operative survival). In Lund 28 children were treated with surgery, 23 of them diagnosed early after birth or prenatally. Four children did not survive surgery (86% operative survival) and 9 (31%) had associated anomalies. All the discharged children treated in Iceland and Lund are alive, 3-22 years postoperatively. Conclusion: CDH is a serious anomaly where morbidity and mortality is directly related to other associated anomalies and pulmonary hypoplasia. However, majority of CDH patients do not have other associated anomalies. In spite of improved surgical results (operative mortality < 20%), a large proportion of pregnancies complicated with CDH are terminated. We conclude that the improved survival rate after corrective surgery must be emphasized when giving information to parents regarding abortion of fetuses with a prenatally diagnosed CDH. |
format |
Article in Journal/Newspaper |
author |
Gudbjartsson, T Gunnarsdottir, Anna Topan, C Z Larsson, Lars Torsten Rosmundsson, Th Dagbjartsson, A |
author_facet |
Gudbjartsson, T Gunnarsdottir, Anna Topan, C Z Larsson, Lars Torsten Rosmundsson, Th Dagbjartsson, A |
author_sort |
Gudbjartsson, T |
title |
Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making |
title_short |
Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making |
title_full |
Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making |
title_fullStr |
Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making |
title_full_unstemmed |
Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making |
title_sort |
congenital diaphragmatic hernia: improved surgical results should influence abortion decision making |
publisher |
Finnish Surgical Society |
publishDate |
2008 |
url |
https://lup.lub.lu.se/record/1183170 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
Scandinavian Journal of Surgery; 97(1), pp 71-76 (2008) ISSN: 1799-7267 |
op_relation |
https://lup.lub.lu.se/record/1183170 wos:000254267200010 scopus:41349087963 |
_version_ |
1766035736132321280 |