Liver position is a prenatal predictive factor of prosthetic repair in congenital diaphragmatic hernia.

Abstract:

OBJECTIVE:To determine whether any common maternal-fetal variable has prenatal predictive value of prosthetic repair in congenital diaphragmatic hernia. METHODS:This was a 5-year single-center retrospective review of fetal congenital diaphragmatic hernia referrals. Multiple prenatal variables were correlated with the need for a prosthetic repair. Statistical analyses were by Fisher's exact and Mann-Whitney U-tests, as appropriate (p < 0.05). RESULTS:Fetal liver position was a predictor of prosthetic repair. The presence or absence of liver herniation was correlated with prosthetic repair rates of 83.3 and 23.1%, respectively (p < 0.001). All patients with moderate/severe liver herniation required a prosthetic patch. CONCLUSION:Liver herniation has prenatal predictive value for the need for prosthetic repair in congenital diaphragmatic hernia. This finding should be valuable during prenatal counseling for clinical trials of engineered diaphragmatic repair.

journal_name

Fetal Diagn Ther

authors

Kunisaki SM,Barnewolt CE,Estroff JA,Nemes LP,Jennings RW,Wilson JM,Fauza DO

doi

10.1159/000123611

subject

Has Abstract

pub_date

2008-01-01 00:00:00

pages

258-62

issue

4

eissn

1015-3837

issn

1421-9964

pii

000123611

journal_volume

23

pub_type

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