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Emergency abdominal wall defects in neonates: saved by distress
David William Fawkner-Corbett1, Gregory Shepherd2, Kokila Lakhoo3
1Department of Paediatric Surgery, University of Oxford Nuffield Department of Surgical Sciences, Oxford, UK.
BMJ Case Reports
|April 1, 2016
Summary
Prompt surgical intervention for neonatal abdominal wall defects, including gastroschisis and exomphalos, is crucial. Multidisciplinary care in tertiary centers prevents mortality and loss of eviscerated organs in newborns.
Area of Science:
- Neonatal Surgery
- Pediatric Surgery
- Congenital Anomalies
Background:
- Abdominal wall defects (AWDs) are serious congenital anomalies.
- Gastroschisis and exomphalos are two types of AWDs requiring urgent management.
- Fetal distress necessitates specialized tertiary care delivery.
Observation:
- Two neonates presented with severe AWDs: gastroschisis and exomphalos with liver evisceration.
- Both cases involved pre-partum fetal distress.
- Delivery occurred at a tertiary center with prior antenatal care.
Findings:
- Emergency surgical intervention was required for both neonates.
- Multidisciplinary team coordination was essential.
- Prompt surgery successfully prevented the loss of eviscerated abdominal contents.
Implications:
- Timely surgical repair is critical for neonatal survival with AWDs.
- Effective multidisciplinary collaboration improves outcomes in complex neonatal cases.
- Tertiary centers play a vital role in managing severe congenital abdominal wall defects.
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