AI Article Synopsis
- The prognosis for neonatal hernias of the diaphragm is very poor, regardless of associated conditions like malformations or prematurity.
- Surgeons are encountering new cases diagnosed in the labor room that weren't previously included in their statistics.
- Treatment with certain drugs like tolazoline and pancuronium can help but often doesn't fully resolve the issue.
Article Abstract
The prognosis is neonatal hernias of the dome of the diaphragm remains extremely gloomy. Associated malformations, prematurity or dysmaturity, cannot explain it. The surgeon is now faced with conditions diagnosed in the labour room, which he previously never saw (and which therefore did not figure in his statistics). Those forms in which the lung gas exchange area is reduced are above all those in which there is a syndrome of persistence of foetal circulation. The association of drugs from the alphalytic group (tolazoline) and curarising agents (pancuronium) is often effective without having completely resolved the problem.
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