AAP News Vol. 13 No. 2 February 1997, p. 2
© 1997 American Academy of Pediatrics
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Diaphragmatic hernia

Luann Zanzola

Although delayed surgery is the widely accepted norm in repairing "curable" congenital diaphragmatic hernia (CDH), British research suggests the optimum timing of surgery still needs clarification.

During a four-year period beginning in 1991, 54 infants with CDH were randomly referred for either early (within four hours) or delayed (more than 24 hours after birth) surgical CDH repair. Median birth weight was 3,000 g (about 6 pounds) and mean gestational age was 38 weeks. The two groups faced similar pre-operative and operative risk factors, including age at diagnosis, referral and arrival.