1,721,225 research outputs found
L'outcome del neonato affetto da ernia diaframmatica congenita. (The outcome of the newborn infant suffering from congenital diaphragmatic hernia)
No full textYou are never too small to make the difference. A message for everyone and a push for pediatric surgeons in training
No full textSurgery, and training in surgery, is complex as it requires to master and to transmit both technical and non-technical skills. This is particularly true when the patient is a child with its family. Academies are called to ensure that the skills needed to guarantee the optimal care to the ill child, and to its parents, are conveyed to the new generations. In this paper, after shortly reviewing the history of academic pediatric surgery and the structure of pediatric surgery training in Italy, we will give a personal view on some of the most important non-technical challenges a young pediatric surgeon will face during his/her career, that make this discipline one of the hardest and the most rewarding at the same time
Long-term follow up of infants with congenital diaphragmatic hernia
No full textWith improving treatment strategies for congenital diaphragmatic hernia (CDH)
infants, an increase in survival of more severely affected patients can be
expected. Consequently, more attention is now focused on long-term follow up of
these patients. Many reports have emphasized associated morbidity, including
pulmonary sequelae, neurodevelopmental deficits, gastrointestinal disorders, and
other abnormalities. Therefore, survivors of CDH remain a complex patient
population to care for throughout infancy and childhood, thus requiring long-term
follow up. Much information has been provided from many centers regarding
individual institutional improvements in overall survival. Few of these, however,
have reported long-term follow up. The aim of this review is to describe the
long-term outcome of survivors with CDH and to suggest a possible follow-up
protocol for these patients
Long-term morbidity of congenital diaphragmatic hernia: A plea for standardization
No full textCongenital diaphragmatic hernia (CDH) survivors present long-term morbidities in several systems, including the neurodevelopmental, gastrointestinal, pulmonary, and musculoskeletal ones, and CDH long-term sequelae are increasingly being recognized. Due to high co-morbidity, health related quality of life in a significant proportion of CDH patients might be compromised. As a consequence of consciousness on the long-term sequelae of CDH survivors, and their consequences for life, several follow-up programs were brought to life worldwide. In this review, we will summarize the long-term sequelae of CDH survivors, the impact of new treatments, and analyze the consistency of follow-up programs. (C) 2017 Elsevier Inc. All rights reserved
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