{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:53:21Z","timestamp":1777938801023,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2008,3,1]],"date-time":"2008-03-01T00:00:00Z","timestamp":1204329600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Scand J Surg"],"published-print":{"date-parts":[[2008,3]]},"abstract":"<jats:sec>\n                    <jats:title>Aims:<\/jats:title>\n                    <jats:p>To compare surgical results for congenital diaphragmatic hernia (CDH) in two Scandinavian university hospitals and to evaluate the effects of abortions on the clinical profile of CDH in Iceland.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective study including all CDH-cases in Iceland 1983\u20132002 and children referred to Lund University Hospital 1993\u20132002. Aborted fetuses with CDH from a nation-wide Icelandic abort-registry were also included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>In Iceland, 19 out of 23 children with CDH were diagnosed &lt; 24 hours from delivery, one with associated anomalies. Eight fetuses were diagnosed prenatally and seven of them aborted, three having isolated CDH at autopsy. In Iceland, 15 of 18 children operated on survived surgery (83% operative survival). In Lund 28 children were treated with surgery, 23 of them diagnosed early after birth or prenatally. Four children did not survive surgery (86% operative survival) and 9 (31%) had associated anomalies. All the discharged children treated in Iceland and Lund are alive, 3\u201322 years postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>CDH is a serious anomaly where morbidity and mortality is directly related to other associated anomalies and pulmonary hypoplasia. However, majority of CDH patients do not have other associated anomalies. In spite of improved surgical results (operative mortality &lt; 20%), a large proportion of pregnancies complicated with CDH are terminated. We conclude that the improved survival rate after corrective surgery must be emphasized when giving information to parents regarding abortion of fetuses with a prenatally diagnosed CDH.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/145749690809700110","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T15:38:40Z","timestamp":1484062720000},"page":"71-76","source":"Crossref","is-referenced-by-count":4,"title":["Congenital Diaphragmatic Hernia: Improved Surgical Results Should Influence Abortion Decision Making"],"prefix":"10.1177","volume":"97","author":[{"given":"T.","family":"Gudbjartsson","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic surgery, Landspitali University Hospital, Reykjavik, Iceland"},{"name":"Department of Faculty of Medicine, University of Iceland, Reykjavik, Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Gunnarsdottir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Lund University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C. Z.","family":"Topan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic surgery, Landspitali University Hospital, Reykjavik, Iceland"},{"name":"Department of Neonatology, Landspitali University Hospital, Reykjavik, Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L. T.","family":"Larsson","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Lund University Hospital, Lund, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Th","family":"Rosmundsson","sequence":"additional","affiliation":[{"name":"Department of Pediatric surgery, Landspitali University Hospital, Reykjavik, Iceland"},{"name":"Department of Faculty of Medicine, University of Iceland, Reykjavik, Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Dagbjartsson","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Landspitali University Hospital, Reykjavik, Iceland"},{"name":"Department of Faculty of Medicine, University of Iceland, Reykjavik, Iceland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2008,3,1]]},"reference":[{"key":"bibr1-145749690809700110","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-2845"},{"key":"bibr2-145749690809700110","doi-asserted-by":"publisher","DOI":"10.1259\/bjr.73.868.10844860"},{"key":"bibr3-145749690809700110","doi-asserted-by":"publisher","DOI":"10.1053\/j.semperi.2004.03.009"},{"key":"bibr4-145749690809700110","unstructured":"Moyer V, Moya F, Tibboel R, Losty P, Nagaya M, Lally KP: Late versus early surgical correction for congenital diaphragmatic hernia in newborn infants. 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