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Konjenital diafragma hernilerinin tedavisinde çelişkiler

Controversies on Management of Congenital Diaphragmatic Hernias

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
The principles of management in congenital diaphragmatic hernia (CDH) cover a high degree of controversy that is still going on. During the first 30 years of this century, the treatment for neonates with congenital diaphragmatic hernia was conservative and inevitably the mortality was very high. Many changes have occurred up to now for congenital diaphragmatic hernia patients regarding subgroups of the etiology, pathophysiology, and treatment. Mainly, researches are going on trying to determine the best time for surgery, the most appropriate type of preoperative and postoperative ventilation, and extracorporeal membrane oxygenation (ECMO), the feasibility of fetal surgery, and measures to predict outcome. The basic controversies do not seem to resolve in the near future for congenital diaphragmatic hernias. [Journal of Turgut Özal Medical Center 1997;4(1):123-128]
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Abstract (Original Language): 
Konjenital diafragma hernisinin tedavi prensiplerinde halihazırda çok fazla sayıda çelişkiler vardır. Bu yüzyılın ilk 30 yılında hastalık biliniyor olmasına rağmen tedavisi konservatifti ve doğal olarak ta mortalitesi çok yüksekti. Etyoloji, patofızyoloji ve tedavi açısından günümüze kadar birçok değişiklikler yaşandı. Şu anda devam etmekte olan başlıca çalışmalar en uygun ameliyat zamanlaması, en uygun pre ve postoperatif ventilasyon teknikleri, ekstrakorporeal membran oksijenasyonu , fetal cerrahi uygulamaları ve prognozun müdahaleler öncesinde belirlenmesi çalışmaları şeklinde düşünülebilir. Ancak konjenital diafragma hernisindeki temel çelişkiler yakın bir gelecekte çözülebilecek gibi durmamaktadır. [Turgut Özal Tıp Merkezi Dergisi 1997;4(1):123-128]
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  • 1
123-128
  • Turkish

REFERENCES

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