| dc.creator | Peralta, Cleisson Fábio Andrioli | |
| dc.creator | Sbragia, Lourenço | |
| dc.creator | Bennini, João Renato | |
| dc.creator | Cavalli, Ricardo Carvalho | |
| dc.creator | Rousselet, Monique Sampaio | |
| dc.creator | Barini, Ricardo | |
| dc.date | 2011-Dec | |
| dc.date | 2015-11-27T13:22:08Z | |
| dc.date | 2015-11-27T13:22:08Z | |
| dc.date.accessioned | 2018-03-29T01:14:20Z | |
| dc.date.available | 2018-03-29T01:14:20Z | |
| dc.identifier | Revista Brasileira De Ginecologia E Obstetrícia : Revista Da Federação Brasileira Das Sociedades De Ginecologia E Obstetrícia. v. 33, n. 12, p. 381-7, 2011-Dec. | |
| dc.identifier | 1806-9339 | |
| dc.identifier | | |
| dc.identifier | http://www.ncbi.nlm.nih.gov/pubmed/22282025 | |
| dc.identifier | http://repositorio.unicamp.br/jspui/handle/REPOSIP/199739 | |
| dc.identifier | 22282025 | |
| dc.identifier.uri | http://repositorioslatinoamericanos.uchile.cl/handle/2250/1299972 | |
| dc.description | To compare postnatal survival to hospital discharge of fetuses with severe isolated left-sided congenital diaphragmatic hernia, who underwent tracheal occlusion, with that of nonrandomized contemporaneous controls. Experimental nonrandomized controlled study, performed from April 2007 to September 2011. Fetuses with severe isolated left-sided congenital diaphragmatic hernia with liver herniation into the chest and lung area-to-head circumference ratio <1.0, who underwent tracheal occlusion (study group) or expectant management (non-randomized contemporaneous controls), were compared in terms of lung area-to-head circumference ratio and observed/expected lung area-to-head circumference ratio (observed/expected lung area-to-head circumference ratio) at the time of diagnosis, gestational age at birth, and survival to hospital discharge. Modifications in lung area-to-head circumference ratio and o/e lung area-to-head circumference ratio after tracheal occlusion were also analyzed. Fisher's exact test, Mann-Whitney's or Wilcoxon's tests were used for the comparisons. There were no significant differences between the Study Group (TO=28) and Controls (n=13) in terms of the lung area-to-head circumference ratio (p=0.709) and the observed/expected lung area-to-head circumference ratio (p=0.5) at the time of diagnosis and gestational age at birth (p=0.146). The survival to hospital discharge was higher (p=0.012) in the tracheal occlusion group (10/28=35.7%) than in controls (0/13=0.0%). There was a significant increase in lung area-to-head circumference ratio (p<0.001) and observed/expected lung area-to-head circumference ratio (p<0.001) between the diagnosis of the congenital diaphragmatic hernia [lung area-to-head circumference ratio: 0.80 (0.40-0.94); observed/expected lung area-to-head circumference ratio: 27.0 (15.3-45.0)], and the day before retrieval of the balloon [lung area-to-head circumference ratio: 1.2 (0.50-1.80); observed/expected lung area-to-head circumference ratio: 40.0 (17.5-60.0)]. There was a significant improvement in the survival rate to hospital discharge of fetuses with severe isolated left-sided congenital diaphragmatic hernia, who underwent tracheal occlusion in comparison to nonrandomized contemporaneous controls. | |
| dc.description | 33 | |
| dc.description | 381-7 | |
| dc.language | por | |
| dc.relation | Revista Brasileira De Ginecologia E Obstetrícia : Revista Da Federação Brasileira Das Sociedades De Ginecologia E Obstetrícia | |
| dc.relation | Rev Bras Ginecol Obstet | |
| dc.rights | aberto | |
| dc.rights | | |
| dc.source | PubMed | |
| dc.subject | Female | |
| dc.subject | Fetal Diseases | |
| dc.subject | Hernia, Diaphragmatic | |
| dc.subject | Hernias, Diaphragmatic, Congenital | |
| dc.subject | Humans | |
| dc.subject | Pregnancy | |
| dc.subject | Severity Of Illness Index | |
| dc.subject | Trachea | |
| dc.title | [tracheal Occlusion For Fetuses With Severe Isolated Left-sided Diaphragmatic Hernia: A Nonrandomized Controlled Experimental Study]. | |
| dc.type | Artículos de revistas | |
