Selected Publication:
Till, H; Joppich, I; Lochbuhler, H; Heger, A; Bohm, R; Kellnar, S.
Atypical hemihepatectomy during primary CDH-repair in a neonate on ECMO
Eur J Pediatr Surg. 1997; 7(3):170-171
Doi: 10.1055/s-2008-1071084
(- Case Report)
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- Leading authors Med Uni Graz
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Till Holger
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- Abstract:
- We report the case of a newborn with a large left-sided congenital diaphragmatic hernia (CDH) who required extra corporeal membrane oxygenation (ECMO) for severe respiratory insufficiency. CDH repair had to be performed on bypass circulation. Intraoperatively, an atypical hemihepatectomy of the herniated lobe was conducted, because reposition of the liver led to a kinking of the vena cava and to a torsion of the right lobe, resulting in ischemia and compromised venous flow. The extraordinary anatomical indication and the potential danger of uncontrollable bleeding are discussed.
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Extracorporeal Membrane Oxygenation -
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Hemostasis, Surgical -
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Hepatectomy - methods
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Hernia, Diaphragmatic - congenital Hernia, Diaphragmatic - surgery
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Humans -
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Infant, Newborn -
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Intraoperative Complications - surgery
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Ischemia - surgery
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Liver - blood supply
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Male -
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Respiratory Insufficiency - surgery
- Find related publications in this database (Keywords)
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congenital diaphragmatic hernia
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extracorporeal membrane oxygenation
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hemihepatectomy