Neonatal intensive care unit on‑site surgery for congenital diaphragmatic hernia

Gaiduchevici,Alina Elena; Cîrstoveanu,Cătălin Gabriel; Socea,Bogdan; Bizubac,Ana Mihaela; Herișeanu,Carmen Mariana; Filip,Cristina; Mihălțan,Florin Dumitru; Dimitriu,Mihai; Jacotă‑Alexe,Florentina; Ceaușu,Mihail; Spătaru,Radu-Iulian

doi:10.3892/etm.2022.11363

Neonatal intensive care unit on‑site surgery for congenital diaphragmatic hernia

Authors:
- Alina Elena Gaiduchevici
- Cătălin Gabriel Cîrstoveanu
- Bogdan Socea
- Ana Mihaela Bizubac
- Carmen Mariana Herișeanu
- Cristina Filip
- Florin Dumitru Mihălțan
- Mihai Dimitriu
- Florentina Jacotă‑Alexe
- Mihail Ceaușu
- Radu-Iulian Spătaru
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Affiliations: Neonatal Intensive Care Unit, ‘Maria S. Curie’ Emergency Clinic Hospital for Children, 077120 Bucharest, Romania, Department of Surgery, ‘Sf. Pantelimon’ Emergency Clinical Hospital, 021659 Bucharest, Romania, Department of Cardiology, ‘Maria S. Curie’ Emergency Clinic Hospital for Children, 077120 Bucharest, Romania, Department of Pneumology, ‘Marius Nasta’ National Institute of Pneumology, 050159 Bucharest, Romania, Department of Obstetrics and Gynecology, ‘Sf. Pantelimon’ Emergency Hospital, 021659 Bucharest, Romania, Department of Histopathology, ‘Alexandru Trestioreanu’ National Institute of Oncology, 022328 Bucharest, Romania, Department of Pediatric Surgery, ‘Maria S. Curie’ Emergency Clinical Hospital for Children, 077120 Bucharest, Romania
Published online on: May 10, 2022 https://doi.org/10.3892/etm.2022.11363
Article Number: 436
Copyright: © Gaiduchevici et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

The present study presents the experience gained in the Newborn Intensive Care Unit (NICU) of ‘Maria S. Curie’ Emergency Clinical Hospital for Children in Bucharest (Romania) after performing a series of bedside surgery interventions on newborns with congenital diaphragmatic hernia (CDH). We conducted a retrospective analysis of the data for all patients operated on‑site between 2011 and 2020, in terms of pre‑ and post‑operative stability, procedures performed, complications and outcomes. An analysis of a control group was used to provide a reference to the survival rate for non‑operated patients. The present study is based on data from 10 cases of newborns, surgically operated on, on average, on the fifth day of life. The main reasons for operating on‑site included hemodynamical instability and the need to administer inhaled nitric oxide (iNO) and high‑frequency oscillatory ventilation (HFOV). There were no unforeseen events during surgery, no immediate postoperative complications and no surgery‑related mortality. One noticed drawback was the unfamiliarity of the surgery team with the new operating environment. Our experience indicates that bedside surgery improves the likelihood of survival for critically ill neonates suffering from CDH. No immediate complications were associated with this practice.

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