ISSN:
1435-2451
Keywords:
Diaphragm, defects, congenital
;
Approach, surgical, abdominal/thoracic
;
Comparison, retrospective
;
Kindliche Zwerchfelldefekte
;
thorakaler und abdominaler Zugang
;
vergleichende Spätergebnisse
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Description / Table of Contents:
Zusammenfassung Operation von 45 kindlichen kongenitalen Zwerchfelldefekten von 1956-1972. Operation bei Neugeborenen dringend, bei älteren Kindern elektiv. 29mal thorakales, 16mal abdominales Vorgehen. Etwa 50% Zusatzanomalien, deswegen hohe Operationsmortalität von 17,8%. Klinische, spirometrische und röntgenologische Nachuntersuchungen von 26 Patienten 4–20 Jahre nach der Operation. Ergebnisse: Alle subjektives Wohlbefinden, leichte bis mäßige respiratorische Ventilationsstörungen, Thoraxdeformitäten oder Skoliosen, bei der thorakal operierten Gruppe häufiger. Pleuraschwarten, Minderung der Zwerchfellbeweglichkeit, Minderbelüftung der Lunge gleich häufig bei beiden Gruppen.
Notes:
Summary From 1956-1972, 45 children received surgical treatment for congenital defects of the diaphragm. Surgery is essential in neonates, but optional in older children. The approach was thoracic in 29 cases and abdominal in 16. Other anomalies were found in about 50 percent of cases, so that there was a high mortality rate of 17.8 percent. Clinical, spirometric, and radiographic follow-up examinations were carried out in 26 patients 4–20 years after the operation. All felt well; slight or moderate respiratory difficulties, thoracic deformities or scoliosis were noted in some patients, and these were commoner in patients in whom a thoracic approach had been used. Pleural scars, restricted diaphragmatic motility, and respiratory insufficiency were equally common in both groups.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01267469
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