Related Experiment Video
Updated: Aug 8, 2026
Continuous Telemetric In Utero Tracheal Pressure Measurements in Fetal Lambs
Published on: December 22, 2023
[The gastroschisis: clinical and therapeutic considerations]
C Sabetay1, J Z Jona, Anca Maloş
1Clinica de Chirurgie Pediatrică, Spitalul Universitar de Urgenţă Craiova. sabetay@umfcv.ro
Insights
Gastroschisis, a congenital abdominal wall defect, requires timely prenatal diagnosis and surgical intervention. Secondary abdominal wall closure using a silo bag can reduce mortality but incurs high treatment costs.
Area of Science:
- Pediatric Surgery
- Congenital Malformations
- Neonatal Care
Context:
- Gastroschisis presents a significant challenge in pediatric surgery due to its severity and low incidence.
- Effective management requires a multidisciplinary approach, integrating prenatal diagnosis with surgical and neonatal care.
- The study reviews therapeutic strategies for 17 gastroschisis cases managed at the Emergency Hospital of Craiova.
Purpose:
- To analyze the effectiveness of different therapeutic methods for gastroschisis.
- To highlight the importance of prenatal ultrasound diagnosis in guiding treatment.
- To evaluate the outcomes of secondary abdominal wall closure using a silo bag.
Summary:
- The study analyzed 17 gastroschisis cases, emphasizing the critical role of prenatal ultrasound diagnosis.
- Secondary closure of the abdominal wall with a synthetic silo bag for temporary intestinal coverage was employed.
- This approach demonstrated a reduction in gastroschisis-related mortality.
Impact:
- Prenatal diagnosis of gastroschisis allows for timely intervention and improved patient outcomes.
- Silo bag application for temporary coverage of extruded intestines can decrease mortality rates.
- While effective, the silo bag method for gastroschisis treatment is associated with significant healthcare costs.
Abstract:
Gastroschisis is a severe congenital malformation of the abdominal wall, with relative low incidence. The authors are analysing different therapeutic methods, in a group of 17 cases, hospitalised and operated in Department of Pediatric Surgery, Emergency Hospital of Craiova. They are underlining the importance of the ultrasound prenatal diagnosis of the malformation, close related to different therapeutic methods applied in this period of time and also are advising secondary closure of the abdominal wall, using a synthetic material (Silo-bag) for temporary coverage of the intestine developed outside the peritoneal cavity. This method helped with the decreasing of mortality in gastroschisis but with high costs of treatment.
