Postnatal care setting and survival after fetoscopic tracheal occlusion for severe congenital diaphragmatic hernia: A systematic review and meta-analysis

Systematic review demonstrates that fetoscopic tracheal occlusion (FETO) for severe congenital diaphragmatic hernia significantly improves survival when performed in integrated prenatal-postnatal care settings with ECMO availability. Survival rates reached 70.7% in integrated centers versus 45.7% in nonintegrated settings, emphasizing the critical importance of multidisciplinary coordination and advanced neonatal support capabilities.