WFRF:(Gunnarsdottir Anna)
Sökning: WFRF:(Gunnarsdottir Anna) > Congenital diaphrag...
- Gudbjartsson, T (författare)
Congenital diaphragmatic hernia: Improved surgical results should influence abortion decision making
- Artikel/kapitelEngelska2008
Förlag, utgivningsår, omfång ...
- 2008
Nummerbeteckningar
- LIBRIS-ID:oai:lup.lub.lu.se:3f4f3413-62c5-4c67-9982-f1e351fe520a
- https://lup.lub.lu.se/record/1183170URI
Kompletterande språkuppgifter
- Språk:engelska
- Sammanfattning på:engelska
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- SwePubSwePub
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Anmärkningar
- 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.
Ämnesord och genrebeteckningar
- MEDICIN OCH HÄLSOVETENSKAP Klinisk medicin Kirurgi hsv//swe
- MEDICAL AND HEALTH SCIENCES Clinical Medicine Surgery hsv//eng
- prenatal counselling
- survival
- surgery
- incidence
- congenital diaphragmatic hernia
- abortion
- children
Biuppslag (personer, institutioner, konferenser, titlar ...)
- Gunnarsdottir, AnnaLund University,Lunds universitet,Neurogastroenterologi,Forskargrupper vid Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Neurogastroenterology,Lund University Research Groups,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)pedi-agu (författare)
- Topan, C Z (författare)
- Larsson, Lars TorstenLund University,Lunds universitet,Pediatrik, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Paediatrics (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine(Swepub:lu)pedi-lla (författare)
- Rosmundsson, Th (författare)
- Dagbjartsson, A (författare)
- NeurogastroenterologiForskargrupper vid Lunds universitet (creator_code:org_t)
Sammanhörande titlar
- Ingår i:Scandinavian Journal of Surgery97:1, s. 71-761799-7267
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- Scandinavian Journal of Surgery (Sök värdpublikationen i LIBRIS)
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- Gudbjartsson, T
- Gunnarsdottir, A ...
- Topan, C Z
- Larsson, Lars To ...
- Rosmundsson, Th
- Dagbjartsson, A
- Om ämnet
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- MEDICIN OCH HÄLSOVETENSKAP
- MEDICIN OCH HÄLS ...
- och Klinisk medicin
- och Kirurgi
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- Lunds universitet
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