[Antenatal care for fetuses with congenital diaphragmatic hernia.]
Prise en charge anténatale des fœtus porteurs d’une hernie de coupole diaphragmatique.
Congenital diaphragmatic hernia
in utero surgery
prenatal diagnosis
Journal
Gynecologie, obstetrique, fertilite & senologie
ISSN: 2468-7189
Titre abrégé: Gynecol Obstet Fertil Senol
Pays: France
ID NLM: 101693805
Informations de publication
Date de publication:
14 Mar 2024
14 Mar 2024
Historique:
received:
07
03
2024
accepted:
07
03
2024
medline:
17
3
2024
pubmed:
17
3
2024
entrez:
16
3
2024
Statut:
aheadofprint
Résumé
Congenital diaphragmatic hernia (CDH) can be diagnosed prenatally and its severity assessed by fetal imaging. The prognosis of a fetus with CDH is based on whether or not the hernia is isolated, the measurement of lung volume on ultrasound and MRI, and the position of the liver. The birth of a child with CDH should take place in a center adapted to the care of such children, and in accordance with the recommendations defined by the French National Diagnosis and Care Protocol. It has recently been demonstrated that for moderate and severe forms of CDH, tracheal occlusion using a balloon placed in utero by fetoscopy (FETO) increases survival until discharge from the neonatal unit, but at the cost of an increased risk of prematurity. At the same time, advances in neonatal resuscitation and the standardization of follow-up of these children within the framework of the "Centre de Référence Maladies Rares: Hernie de Coupole Diaphragmatique" have improved the prognosis of these children and young adults.
Identifiants
pubmed: 38492743
pii: S2468-7189(24)00085-0
doi: 10.1016/j.gofs.2024.03.002
pii:
doi:
Types de publication
English Abstract
Journal Article
Langues
fre
Sous-ensembles de citation
IM
Informations de copyright
Copyright © 2024. Published by Elsevier Masson SAS.