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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
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.
Find related publications in this database (using NLM MeSH Indexing)
Extracorporeal Membrane Oxygenation -
Hemostasis, Surgical -
Hepatectomy - methods
Hernia, Diaphragmatic - congenital Hernia, Diaphragmatic - surgery
Humans -
Infant, Newborn -
Intraoperative Complications - surgery
Ischemia - surgery
Liver - blood supply
Male -
Respiratory Insufficiency - surgery

Find related publications in this database (Keywords)
congenital diaphragmatic hernia
extracorporeal membrane oxygenation
hemihepatectomy
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