This paper is only available as a PDF. To read, Please Download here.
Abstract
The mortality from diaphragmatic hernia remains high; at times the exact mode of death
has not been readily apparent from the clinical course or the autopsy findings.
Fifteen out of 17 cases of diaphragmatic hernia who came to autopsy after operation
at this hospital were found to have extensive adrenal hemorrhage. It is suggested
that the adrenal damage may have caused enough insufficiency to contribute to these
deaths; we consider this sufficient evidence to advocate great care while working
in the region of the adrenal glands in the newborn child, and to consider the possibility
of a relative adrenal insufficiency in the infant whose postoperative progress following
repair of a diaphragmatic hernia is poor.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Congenital diaphragmatic hernia in children under one year of age: A 24 year review.J. Pediat. Surg. 1966; 1: 157
- Congenital diaphragmatic hernia as a cause of perinatal mortality.Lancet. 1962; 1: 659
- ed. 3. Hormones in blood. Vol. 2. Academic Press, Inc, London and New York1967
- Adrenal hemorrhage and necrosis resulting from abdominal operations.Lancet. 1969; 1: 600
- Diurnal variation of plasma 17-hydroxycorticosteroids in children.J. Clin. Endocrinol. Metab. 1967; 27: 75
- A comparative study of the vascularization of the adrenal gland in the rabbit, rat, and cat.J. Anat. 1951; 85: 12
- Plasma cortisone and cortisol levels at birth and during the neonatal period.J. Clin. Endocrinol. Metab. 1965; 25: 243
- Diaphragmatic hernia in infancy: Factors affecting the mortality rate.Surgery. 1967; 62: 1082
- Congenital posterolateral diaphragmatic hernia in the newborn.J. Thorac. Cardiovasc. Surg. 1968; 55: 55
- Neonatal surgery.Butterworth & Co., Ltd, London1969
- Congenital diaphragmatic hernia: 77 consecutive cases.Surgery. 1965; 57: 576
- Prolonged postoperative hypercapnia in congenital diaphragmatic hernia.J. Pediat. Surg. 1969; 4: 313
- Hernias of the foramen of Bochdalek in children.in: ed. 3. Mayo Clin. Proc. 43. 1968: 580
- Diaphragmatic hernia in infancy.in: Wilkinson A.W. Advances in pediatric surgery. Grune & Stratton, Inc, New York1969
Article info
Publication history
Accepted:
June 1,
1970
Identification
Copyright
© 1971 Published by Elsevier Inc.
