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Anterior abdominal wall defects
P M Lafferty1, A J Emmerson, P J Fleming
1Department of Child Health, Bristol Maternity Hospital.
Archives of Disease in Childhood
|July 1, 1989
Summary
Infants with abdominal wall defects like gastroschisis and exomphalos show high survival rates. Gastroschisis survival reached 95%, while exomphalos survival was 81% in a six-year review.
Area of Science:
- Neonatal surgery
- Pediatric surgery
- Congenital anomalies
Background:
- Abdominal wall defects, including gastroschisis and exomphalos, are significant congenital anomalies.
- These conditions require specialized neonatal surgical care.
Purpose of the Study:
- To review outcomes for infants with abdominal wall defects.
- To assess survival rates and factors influencing outcomes for gastroschisis and exomphalos.
Main Methods:
- Retrospective review of 48 infants with abdominal wall defects over six years.
- Analysis of survival rates and associated factors such as prenatal diagnosis and mode of delivery.
Main Results:
- Survival rates at one year were 95% for gastroschisis (21/22) and 81% for exomphalos (17/20).
- Most deaths were attributed to factors other than the abdominal defect itself.
- Prenatal diagnosis and parental counseling were reviewed for their impact on outcomes.
Conclusions:
- Neonatal surgical intervention for gastroschisis and exomphalos leads to high survival rates.
- Factors beyond the defect itself significantly influence infant outcomes.