XXXX : experience with preoperative stabilization and delayed surgery without ECMO and inhaled @entity842 .

@entity1 @entity154 @entity295 @entity649 @entity120 @entity2914 @entity358 @entity842 @entity3490 @entity354
Despite many advances in the management of @entity2914 ( @entity2914 ), the condition carries a mortality rate of 40-50% usually consequent to @entity358 and/or persistent @entity120 . Several centers have reported improved survival with preoperative stabilization and delayed surgery, which is now an accepted method of management. This is a retrospective analysis of all neonates with @entity649 at birth due to @entity2914 who were treated at our institution with neither extracorporeal membrane oxygenation nor @entity842 being used. The medical records of all neonates with @entity2914 and @entity649 at birth who were treated at this institution from August 1, 1992 through @entity3490 , 1997 were reviewed. There were 21 @entity1 , 11 male and 10 female. There were 17 full-term and 4 premature @entity1 ; two premature @entity1 at 30 and 34 weeks' gestation were not resuscitated because of severe associated @entity154 . Surgery was performed from 5 to 144 hr (mean 45 hr) in 18 @entity1 . One @entity1 died during preoperative stabilization from severe @entity358 and @entity120 and one @entity1 died postoperatively from the same conditions. Seventeen of 19 @entity1 (89.5%) survived and were discharged home. Three @entity1 (17.6%) who failed to thrive due to severe @entity354 ( @entity354 ) required fundoplication. Eleven @entity1 (64.7%) who had @entity295 proven by blood culture responded satisfactorily to appropriate antibiotics. Preoperative stabilization and delayed surgery has been a satisfactory form of management in our series. The significant complication was @entity295 , which must be addressed.
