[Prenatal diagnosis: gastroschisis--pediatric surgical considerations and a report of 13 cases]

The gastroschisis is a congenital defect of the abdominal wall without other abnormalities and can be diagnosed by ultrasonography before 20 weeks of gestation. The management of these cases requires the cooperation of the obstetric and pediatric clinician in respect of an elective abortion. As a result of the advances in pediatric surgery and neonatal intensive care the treatment of the gastroschisis is possible and the prognosis of these children is very good. In the years 1978-1983 the primary closure of the abdominal wall defect was performed in 13 newborns. Whereas one child died due to intrauterin complications (volvolus and intestinal gangren) the 12 remaining patients could be operated successfully. We are of opinion that termination of pregnancy is indicated no longer in cases of gastroschisis.