Postnatal Ultrasound to Determine the Surgical Strategy for Congenital Diaphragmatic Hernia

摘要: Objectives To compare defect sizes in congenital diaphragmatic hernia (CDH) measured by postnatal ultrasound (US) between neonates who underwent thoracoscopic surgery and open primary repair those patch repair; additionally, to the accuracy of US diagnosis with that surgical for location hernial contents. Methods We included 8 preoperative evaluations CDH. compared anterior-to-posterior diaphragm approaches using Mann-Whitney U test. The was divided into 3 segments: anterior, lateral, posterior. evaluated Results Four had larger hernias than (mean ± SD, 30.5 5.6 versus 16.3 3.3 mm; P = .030). They were also (33.0 3.0 17.6 4.2 .037). Detection anterior lateral segments consistent findings. Three 4 all did not show segment. contents Conclusions Postnatal examinations CDH could provide surgeons useful information determine approach method. However, since our study cohort small, further studies are needed a number