title: Congenital lung lesions: Postnatal management and outcome.
abstract: Antenatal diagnosis of lung lesion has become more accurate resulting in dilemma and controversies of its antenatal and postnatal management. Majority of antenatally diagnosed congenital lung lesions are asymptomatic in the neonatal age group. Large lung lesions cause respiratory compromise and inevitably require urgent investigations and surgery. The congenital lung lesion presenting with hydrops requires careful postnatal management of lung hypoplasia and persistent pulmonary hypertension. Preoperative stabilization with gentle ventilation with permissive hypercapnia and delayed surgery similar to congenital diaphragmatic hernia management has been shown to result in good outcome. The diagnostic investigations and surgical management of the asymptomatic lung lesions remain controversial. Postnatal management and outcome of congenital cystic lung lesions are discussed.
authors.affiliation: Department of Paediatric Surgery, Birmingham Children׳s Hospital NHS Foundation Trust, Steelhouse Lane, Birmingham B4 6NH, UK. Electronic address: dakshesh.parikh@bch.nhs.uk.
authors.forename: Dakshesh H
authors.initials: DH
authors.lastname: Parikh
authors.affiliation: Southern West Midlands Newborn Network and Birmingham Women's Health Care NHS Trust, Mindelsohn Way, Edgbaston Birmingham, B15 2TG UK.
authors.forename: Shree Vishna
authors.initials: SV
authors.lastname: Rasiah
mesh_terms: D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000601:surgery / Q000628:therapy*; D008171:Lung Diseases / Q000151:congenital* / Q000601:surgery / Q000628:therapy*
keywords: Congenital cystic lung lesions; Lung hypoplasia; Postnatal outcome; Pulmonary hypertension; Segmental resection; Surgery