The role of ECLS in the management of congenital diaphragmatic hernia

Yigit S Guner; J D Hammond; Sarah Keene; Brian Gray

doi:10.1016/j.sempedsurg.2024.151440

The role of ECLS in the management of congenital diaphragmatic hernia

Semin Pediatr Surg. 2024 Aug;33(4):151440. doi: 10.1016/j.sempedsurg.2024.151440. Epub 2024 Jul 2.

Authors

Yigit S Guner¹, J D Hammond², Sarah Keene³, Brian Gray⁴

Affiliations

¹ Department of Surgery, University of California Irvine Medical Center, Orange, CA, United States; Division of Pediatric Surgery, Children's Hospital of Orange County, Orange, CA, United States. Electronic address: yguner@hs.uci.edu.
² Department of Pediatrics, University of California Irvine Medical Center, Orange, CA, United States; Division of Neonatology, Children's Hospital of Orange County, Orange, CA, United States.
³ Division of Neonatology, Emory University School of Medicine and Children's Healthcare of Atlanta, Atlanta, GA, United States.
⁴ Department of Surgery, Section of Pediatric Surgery, Indiana University, Indianapolis, IN, United States.

PMID: 38996506
DOI: 10.1016/j.sempedsurg.2024.151440

Abstract

In the complex arena of Congenital Diaphragmatic Hernia (CDH) management, Extracorporeal Life Support (ECLS) provides a strategic window for stabilization and surgical correction, during which time marginal gains in patient stability can tip the scales towards survival. In modern neonatal ECLS, the focus is increasingly on minimizing survivor morbidity, which calls for considerable multidisciplinary expertise to enhance patient outcomes. This review will delve into the most up-to-date literature on the management of CDH in the context of ECLS, providing a comprehensive synthesis of current insights.

Keywords: CDH; ECMO; Hernia; Neonate.

Publication types

Review

MeSH terms

Extracorporeal Membrane Oxygenation* / methods
Hernias, Diaphragmatic, Congenital* / surgery
Hernias, Diaphragmatic, Congenital* / therapy
Humans
Infant, Newborn