To the Editor: Harrison et al. (May 31 issue)1 describe the successful repair of a fetal diaphragmatic hernia, and they are to be congratulated for developing this skill from use in a variety of animals to clinical application. Having said this, we must now ask whether fetal surgery is indicated for congenital diaphragmatic hernia. The authors' premise that 75 percent of infants born with diaphragmatic hernia die is simply not true. In fact, they incorrectly cite our paper2 and do not cite others3 4 5 that demonstrate the contrary as justification for fetal repair of this condition. It is generally accepted that.
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