Abstract
Esophageal atresia, congenital diaphragmatic hernia, bronchopulmonary malformations and cystic lung diseases are the common neonatal thoracic surgical lesions encountered in practice. The availability of antenatal ultrasonography has lead to these lesions being detected before birth. Antenatal diagnosis can be made with a fair degree of accuracy in tertiary fetal medicine centres. Antenatal intervention is limited in a very few centres in the western world and not being done in India at present. The outcome of these babies with antenatal diagnosis of thoracic lesions has changed in the last decade. Earlier intervention is now possible in cystic lung disease before infectious complication has set in. All these lesions are managed exclusively in well developed neonatal surgery units with excellent outcome in the western world. The present study reviews the antenatal detection, clinical presentation, interventional/surgical procedures [antenatally and postnatally] and outcome of these common neonatal thoracic surgical lesions.
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References
Myers NA. Esophageal atresia: the epitome of modern surgery. Am Roy Coll Surg 1974; 54: 277–281.
Martin LW, Alexander F. Esophageal atresia. Surg Clin North Am 1985; 65: 1099–1113.
Foglia RP. Esophageal disease in the pediatric age group. Chest Surg Clin North Am 1994; 4: 785–809.
Stringer MD, McKenna KM, Goldstein RB, Filly RA, Adzick NS, Harrison MR. Prenatal diagnosis of esophageal atresia. J Pediatr Surg 1995; 30: 1258–1263.
Vijayaraghavan SB. Antenatal diagnosis of esophageal atresia with tracheoesophageal fistula. J Ultrasound Med 1996; 15: 417–419.
Lindahl H, Rintala R. Long-term complications in cases of isolated esophageal atresia treated with esophageal anastomosis. J Pediatr Surg 1995; 30: 1222–1223.
Dunn JC, Fonkalsrud EW, Atkinson JB. Simplifying the Waterston’s stratification of infants with tracheoesophageal fistula. Am Surg 1999; 65: 908–910.
Konkin DE, O’Hali AW et al. Outcomes in esophageal atresia and tracheoesophageal fistula. J Pediatrr Surg 2003; 38: 1726.
Thomas R. Weber, MD; Barbara Kountzman et al. Improved Survical in Congenital Diaphragmatic Hernia with evolving therapeutic strategies. Arch Surg 1998; 133: 498–502.
M. Bonfils, G. Emeriaud et al. Fetal lung volume in congenital diaphragmatic hernia. Arch Dis Child-Fetal Neonat Ed 2006; 91: F363–F364.
Rodrigo Ruano, Marie-Cecile Aubry et al. Predicting perinatal outcome in isolated congenital diaphragmatic hernia using fetal pulmonary artery diameters. J Ped Surg 2008; 43: 606–611.
Desmond Bohn, Congenital Diaphragmatic Hernia. Amer J Respi Critic Care Med 2002; 166: 911–915.
Jean-Marc Biard, Uwe Schwarz et al. Main bronchus occlusion for treatment of congenital diaphragmatic hernia in fetal lambs. J Pediatric Surg 2008; 43: 620–626.
Wung JT, Sahni R, Moffitt ST et al. Congenital diaphragmatic hernia: Survival treated with very delayed Surgery, Spontaneous respiration and no chest tube. J Ped Surg 1995; 30: 406–409.
Mark Davenport, S.A. Warne et al. Current outcome of Antenally Diagnosed Cystic Lung Disease. J Pediatr Surg 2004; 39: 549–556.
Aziz D, Langer JC, Tuuha SE et al. Perinatally diagnosed asymptomatic congential cystic adenomatoid malformation. to resect or not? J Pediatr Surg 2004; 39: 329–334.
Mark Davenport, SA Warne et al. Current outcome of Antenatally diagnosed cystic lung diseases. J Paediatr Surg 2004; 39: 549–556.
Man DW, Handy MH et al. Congenital lobar emphysema; problems in diagnosis and management. Arch Dis Child 1983; 58: 709–714.
Piccione W Jr., Burt ME. Pulmonary sequestration in the neonate. Chest 1990; 97: 244–247.
Bratu I, Flageole H, Chen MF et al. The multiple facets of pulmonary sequestration. J Pediatr Surg 2001; 36: 784–790.
Parikh D, Samuel M. Congenital Cystic thoracic lesions:is surgical resection essential. Pediatr Pulmonol 2005; 40: 533–537.
Roggin KK, Breuer CK et al. The unpredictable character of congenital cystic lung lesions. J Pediatr Surg 2000; 35: 801–805.
Ozean C, Celik A, Ural Z et al. Primary pulmonary rhabdomyosarcoma arising within cystic adenomatoid malformation: A case report and review of the literature. J Pediatr Surg 2001; 36: 1062–1065.
Prichard MG, Brown PJE, Sterret GF. Bronchoalveolar carcinoma arising in longstanding lung cysts. Throax 1984; 39: 545–549.
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Kumar, A.N. Perinatal management of common neonatal thoracic lesions. Indian J Pediatr 75, 931–937 (2008). https://doi.org/10.1007/s12098-008-0195-2
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DOI: https://doi.org/10.1007/s12098-008-0195-2