The mortality from congenital diaphragmatic hernia would be perceptibly reduced by earlier recognition of the condition and earlier operative intervention. This end could undoubtedly be accomplished by more frequent appearance of reports in the literature, since in diagnosis congenital diaphragmatic hernia is often overlooked. Harrington1 claimed that the incidence of the condition is in direct proportion to the frequency with which it is thought of in making differential diagnosis. Keith2 expressed the feeling that persons with diaphragmatic hernia might be more successfully operated on if the condition were recognized at birth. Grulee3 stated that congenital diaphragmatic hernia should be considered more often when diagnoses are made, especially in many cases of supposed dextrocardia. Sudden deaths at birth should not always be attributed to an enlarged thymus or to congenital heart disease; they should be further investigated by autopsy.
Although the mortality and the morbidity for diaphragmatic hernia
MEYER KA, HOFFMAN SJ, AMTMAN JK. DIAPHRAGMATIC HERNIA IN THE NEWBORN: REVIEW OF THE LITERATURE AND REPORT OF A CASE. Am J Dis Child. 1938;56(3):600–607. doi:10.1001/archpedi.1938.01980150120010
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