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Robert E. Cilley, MD
Penn State University Children's Hospital
The Milton S. Hershey Medical Center
Hershey, Pa

Arch Surg. 1998;133:503.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Weber and colleagues have presented their extensive institutional experience in the treatment of infants with CDH at the Cardinal Glennon Children's Hospital. There is much to be gleaned from this report on more than 200 patients that spans 27 years. Carefully considered historical reviews, such as this one, have much to offer us. The institutional experience reported here is compatible with trends in other children's hospitals caring for infants with CDH.

The implications of these observations leave a number of unanswered questions. These include: (1) Should CDH repair ever be performed at institutions where ECMO is not available? (2) Should all women known to be carrying a fetus with CDH plan to deliver in such centers? (3) Is it ever appropriate to operate immediately after birth on an infant with CDH? (4) May repair be delayed for longer periods than the 2 to 5 days that . . . [Full Text of this Article]

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