Intraoperative surgical complications of open surgery for congenital diaphragmatic hernia: a multicenter, observational study in Japan
Topic overview
This multicenter Japanese study analyzed intraoperative complications in 852 neonates undergoing open CDH repair, finding a 6% organ injury rate with spleen being most commonly affected. Two percent required transfusion, with non-direct diaphragmatic closure identified as a risk factor for splenic injury.
Key takeaways
- 6% of open CDH repairs resulted in intraoperative organ injury, most commonly splenic injury (62% of injuries).
- 2% of open CDH surgeries required blood transfusion due to organ injury during repair.
- Non-direct closure of diaphragmatic defect doubled the risk of splenic injury (OR 2.2, 95% CI 1.1-4.9).
- Spleen, liver, lungs, and intestine were the most frequently injured organs during open CDH repair.
- Laparotomy and thoracotomy for CDH carry measurable but manageable intraoperative complication rates in experienced centers.
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How to cite: GlobalCastMD. Intraoperative surgical complications of open surgery for congenital diaphragmatic hernia: a multicenter, observational study in Japan. GlobalCastMD Medical Library. 2024-08-22. https://dev.library.globalcastmd.com/article/9056?via_space=staycurrentmd
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