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One-year outcomes of congenital diaphragmatic hernia repair: Factors associated with recurrence and complications

Journal of Pediatric Surgery Oct 26, 2020

Cioci AC, Urrechaga EM, Parreco J, et al. - Given the correlation of congenital diaphragmatic hernia (CDH) with lifelong multisystem morbidity, researchers here conducted the first study evaluating nationwide readmissions in newborns with CDH and sought the factors contributing to hospital readmission after CDH repair. Using the Nationwide Readmissions Database from 2010 to 2014, they identified 511 patients with neonatal CDH. The repairs were carried out at teaching hospitals via laparotomy in 59% (n = 303), thoracotomy in 36% (n = 183), and minimally invasive (MIS) repair in 5% (n = 25). Observations revealed that due to CDH recurrence and reflux-associated complications, readmission is common among these patients. Relative to prior reports, this study had a higher recurrence rate and this was more common after MIS and repair via thoracotomy.

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