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Abdominal wall defects
Bhanumathi Lakshminarayanan1, Kokila Lakhoo1
1Department of Paediatric Surgery, Level 2, Children's Hospital, John Radcliffe Hospital, Headley Way, Oxford, United Kingdom.
Insights
Gastroschisis and exomphalos are common fetal abdominal wall defects. This review covers their incidence, risks, management, and outcomes, discussing current surgical practices.
Area of Science:
- Perinatal medicine
- Fetal surgery
- Neonatal care
Background:
- Abdominal wall defects (AWDs) are congenital malformations.
- Gastroschisis and exomphalos are the most frequent AWDs.
- These conditions require specialized perinatal and surgical management.
Purpose of the Study:
- To review current evidence on gastroschisis and exomphalos.
- To assess incidence, perinatal risk factors, and outcomes.
- To discuss antenatal, postnatal, and surgical management strategies.
Main Methods:
- Literature review of current evidence.
- Assessment of perinatal risk factors.
- Analysis of antenatal and postnatal management approaches.
Main Results:
- Gastroschisis and exomphalos are common fetal abdominal wall defects.
- Evidence on incidence, risk factors, management, and outcomes is reviewed.
- Current surgical practices are discussed.
Conclusions:
- Effective management of gastroschisis and exomphalos requires a multidisciplinary approach.
- Understanding risk factors and outcomes is crucial for optimal perinatal care.
- Continued review of surgical practices is essential for improving patient outcomes.
Abstract:
Abdominal wall defects in foetuses include gastroschisis, exomphalos, bladder exstrophy complex, cloacal exstrophy and body stalk syndrome. The defects that occur more commonly are gastroschisis and exomphalos. In this review we assess the current evidence regarding the incidence, perinatal risk factors, antenatal and postnatal management and outcome for both these conditions. A review of the current surgical practices for management of gastroschisis and exomphalos is discussed.
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