Rare Diseases Symptoms Automatic Extraction
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Possibilities and limits in the treatment of congenital diaphragmatic hernia.
[congenital diaphragmatic hernia]
to
establish
a
therapeutic
strategy
that
will
improve
the
prognosis
and
increase
the
survival
rate
in
congenital
diaphragmatic
hernia
.
14
congenital
diaphragmatic
hernias
(
incidence
1
/
1597
live
births
,
12
boys
and
2
girls
with
a
sex
ratio
of
6
/
1
,
10
term
infants
and
4
preterm
first
degree
,
11
natural
births
and
3
by
caesarean
section
)
admitted
to
the
Clinic
of
Pediatric
Surgery
Craiova
,
in
a
5
-
year
period
(
2007
-
2012
)
,
were
analyzed
from
the
therapeutic
point
of
view
.
The
"
tension
free
"
primary
suture
was
the
main
surgical
procedure
to
repair
the
diaphragmatic
defect
in
all
cases
,
preceded
by
a
period
of
preoperative
resuscitation
and
stabilization
(
2
.
8
days
on
average
)
.
We
registered
a
survival
rate
of
64
.
29
%
and
a
postoperative
mortality
rate
of
35
.
71
%
.
delayed
surgery
preceded
by
a
period
of
the
preoperative
respiratory
resuscitation
and
stabilization
(
24
-
72
hours
on
average
)
significantly
reduced
postoperative
mortality
and
increased
the
survival
rate
.