2019
DOI: 10.1002/jum.14929
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Postnatal Ultrasound to Determine the Surgical Strategy for Congenital Diaphragmatic Hernia

Abstract: Objectives-To compare defect sizes in congenital diaphragmatic hernia (CDH) measured by postnatal ultrasound (US) between neonates who underwent thoracoscopic surgery and neonates who underwent open surgery and between neonates who underwent primary repair and those who underwent patch repair; additionally, to compare the accuracy of US diagnosis with that of surgical diagnosis for the location of the diaphragmatic hernia and the hernial contents.Methods-We included 8 neonates who underwent preoperative US eva… Show more

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Cited by 10 publications
(5 citation statements)
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“…In contrast to CT, ultrasound can be performed without radiation exposure. In addition, because the patients do not have stable circulation after cardiovascular surgery, it may be difficult to move them from the intensive care unit; therefore ultrasound is an advantage as it can be performed by the patients' bedside [17,18].…”
Section: Introductionmentioning
confidence: 99%
“…In contrast to CT, ultrasound can be performed without radiation exposure. In addition, because the patients do not have stable circulation after cardiovascular surgery, it may be difficult to move them from the intensive care unit; therefore ultrasound is an advantage as it can be performed by the patients' bedside [17,18].…”
Section: Introductionmentioning
confidence: 99%
“…The membranous diaphragm is typically thin and difficult to visualize using imaging techniques. In contrast, the muscular diaphragm is usually visualized using ultrasound and CT; however, it may be thinner because it is elongated by intradiaphragmatic lesions, making it difficult for detection 13,14,26,27 . Therefore, the split diaphragm sign is not observed in some cases of ID‐EPS.…”
Section: Discussionmentioning
confidence: 99%
“…Reportedly, due to progress in the quality of imaging modalities, postnatal ultrasound, and CT have been useful for diagnosing diaphragm and lung anomalies. 3,6,[13][14][15] Therefore, this study aimed to describe the imaging findings and diagnostic accuracy of ultrasound and CT for ID-EPS. In addition, previously reported cases were reviewed to assess imaging findings.…”
mentioning
confidence: 99%
“…At present, US measurements are useful (i) in assessing diaphragm dysfunction (paralysis [37], asymmetrical movements [55], congenital anomalies [56]) or (ii) as a prognostic marker for frequent exacerbations in COPD patients [32]. It is also worth considering US measurements of the diaphragm in surgical management/repair of congenital diaphragmatic hernia [57][58][59] and as an additional indicator in the assessment of effort tolerance in pulmonary rehabilitation or rehabilitation progress [60].…”
Section: Clinical Contextmentioning
confidence: 99%