Present Results in the Treatment of Omphalocele andGastroschisis
M. Rygl; J. Kalousová; K. Pýcha; J. Stýblová; J. Šnajdauf
Klinika dětské chirurgie 2. LF UK a FN Motol, Praha Subkatedra dětské chirurgie IPVZ, Praha, přednosta prof. MUDr. J. Šnajdauf, DrSc.
Čes. Gynek.2004, , č. 1 s. 55-59
The aim of the study was to evaluate current possibilities of treatment of newbornswith abdominal wall defects: omphalocele and gastroschisis.Setting: Department of Pediatric Surgery, 2nd Medical Faculty Charles University and FacultyHospital Motol, Prague.Methods: A retrospective cohort study of the treatment results in newborns with defect ofabdominal wall.Results: Thirty eight newborns with omphalocele and gastroschisis were treated at the authors`department in the period of 1995 - 2002. Primary closure of defect was possible in 23 newborns(60%), Goretex patch or „silo” technique was used in 13 patients (34%), while two newborns(6%) were not operated on. The overall survival in children with omphalocele was 73%, being89% in children without chromosomal anomalies. Six infants died: three with trisomy 13, onewith trisomy 18, one infant died of sepsis and one had primary pulmonary hypertension andcongenital heart defect. The survival in children with gastroschisis was 94%, one child died ofmultiorgan failure during sepsis.Conclusion: Nowadays prenatal diagnosis of gastroschisis or omphalocele is a recommendationfor complex examination and consultation in a specialized center. The prognosis for most isolateddefects of abdominal wall is good as far as survival and quality of life are concerned.
abdominal wall defects, omphalocele, gastroschisis, prenatal diagnosis, survival,isolated defect
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Gynaecology and obstetrics