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Kim, Kim, Kim, Kim, Kim, Nam, Park, Park, Park, Boo, Seo, Ahn, Oh, Lee, Lee, Jang, Jang, Jung, Jung, Jung, Jung, Cho, Choi, Han, Hong, and Hong: Neonate Congenital Bochdalek Hernia: A National Survey of Its Members by Korean Association of Pediatric Surgeons
Review Article

Journal of the Korean Association of Pediatric Surgeons 2016; 22(1): 6-9.

Published online: 30 June 2016

DOI: https://doi.org/10.13029/jkaps.2016.22.1.6

Neonate Congenital Bochdalek Hernia: A National Survey of Its Members by Korean Association of Pediatric Surgeons

D Y Kim, S C Kim, S H Kim, H Y Kim, H Y Kim, S H Nam, K W Park, J B Park, J Y Park, Y J Boo, J M Seo, S M Ahn, J T Oh, S K Lee, S C Lee, E Y Jang, H K Jang, S E Jung, S M Jung, Y J Jung, E Y Jung, M J Cho, S O Choi, S J Han, Y J Hong, J Hong

Korean Association of Pediatric Surgeons, Korea.

Correspondence: Dae Yeon Kim, Division of Pediatric Surgery, Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul 05505, Korea. Tel: +82-2-3010-3961, Fax: +82-2-3010-6841, kimdy@amc.seoul.kr

Received 31 May 2016       Accepted 31 May 2016

Copyright © 2016 by the Korean Association of Pediatric Surgeons

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

This is a survey on congenital posterolateral diaphragmatic hernia, conducted by Korean Association of Pediatric Surgeons (KAPS). A registration form for each patient during the 5-year period between 2010 and 2014 and a questionnaire were sent to each member. Twenty-six members in 16 institutions returned completed forms. Total patients were 219. Prenatal diagnoses were done in 181 cases (82.6%). Preoperative mortality was 11.4%. Minimal invasive surgery was done in 61 cases (31.8%). Risk factors related with death were Apgar score, oxygenation index, preoperative pH and bicarbonate, O2 saturation, the presence of hernia sac, and the size of defect. The neonatal survival and 1-year survival of total patients were 77.6% and 75.3%.

Keywords: Newborn infant, Congenital diaphragmatic hernias, Bochdalek hernias, Korean Association of Pediatric Surgeons, Surveys and questionnaires

Figures and Tables

Fig. 1

Number of patients by year.

jkaps-22-6-g001
Fig. 2

Number of patients by operation age.

jkaps-22-6-g002
Table 1

Number of Patients by Each Institute (n=219)

jkaps-22-6-i001

The sum of the percentages does not equal 100% because of rounding.

Table 2

Surgical Approach

jkaps-22-6-i002

Values are presented as n (%)

Table 3

Risk Analysis: Perioperative Findings

jkaps-22-6-i003

Values are presented as mean±SD or n only (number of patients/total number of patients).

HFV, high frequency ventilation; ABGA, arterial blood gas analysis; NO, nitric oxide.

Notes

CONFLICTS OF INTEREST No potential conflict of interest relevant to this article was reported.

References

1. Kim JC, Kim DY, Kim SY, Kim SC, Kim IK, Kim JE, et al. Congenital posterolateral diaphragmatic hernia in Korea: a survey by the Korean Association of Pediatric Surgeons. J Korean Assoc Pediatr Surg. 2006; 12:53–69.
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