The outcome of gastroschisis affected by timing of child delivery

Authors

  • Somboon Roekwibunsi Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Patumwam, Bangkok 10330, Thailand
  • Dusit Viravaidhya Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Patumwam, Bangkok 10330, Thailand
  • Soottiporn Chittmittrapap Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Patumwam, Bangkok 10330, Thailand
  • Bidhya Chandrakamol Department of Surgery, Faculty of Medicine, King Chulalongkorn Memorial Hospital, Patumwam, Bangkok 10330, Thailand

Keywords:

Gastroschisis, Abdominal wall defect

Abstract

                   Gastroschisis is congenital defects of the abdominal wall that require prompt surgical management at the time of delivery.  Since the extent of the bowel damage is related to the period of exposure to the amniotic fluid and can be predicted base on the prenatal ultrasound finding. The options of early delivery to those fetus at high risk can be offered to achieve less or total lack of edema and bowel peel then the postoperative may be improved and hospital stay be shorter in the prenatal diagnosis group compare to traditionally treated cases.

                To evaluate the timing of delivery and the influence on the outcome, we reviewed 20 infants with gastroschisis without antenatal diagnosis during 4.5 years period (1992-1995) by divided into mature premature groups. Overall survival was 80%, 1 closure of the defect was successfully a 11 cases. The prognosis for the infants with gastroschisis affected with the timing, of delivery is used including details of the postoperative assisted ventilation, total parenteral nut trend of early discharge home.

References

1. Sakala EP, Erhard LN. White JJ. Elective Cesarean Section Improves Outcomes of Neonates with Gastroschisis. Am J Obstet Gynecol 1993; 169 (4):1050-3.

2. Gabriel R, Leroux B, Quereux C, Baoud S, Wahl P. Gastroschisis: What Part Can the Obstetrician Play. Eur J Obstet Gynecol Reprod Biol 1992; 45(2):101-5.

3. Tucker JM, Brumfield CG, Davis RO, Winkler CL, Boots LR, Krassikoff NE. Hauth JC. Prenatal Differentiation of Ventral Abdominal Wall Defects. Are Amniotic Fluid Markers Useful Adjuncts?. J Reprod Med 1992; 37(5):445-8.

4. Lenke RR, Persutte WH, Nemes J, Ultrasonographic Assessment of Intestinal Damage in Fetuses With Gastroschisis. Am J Obstet Gynecol 1990; 163(3):995-8.

5. Moretti M, Khoury A, Rodriquez J, Lobe T, Shaver D, Sibai B. The Effect of Mode of Delivery on the Perinatal Outcome in Fetuses with Abdominal Wall Defects. Am J Obstet Gynecol 1990; 163(3):833-8.

6. Lewis DF, Towers CV, Garite TJ, Jackson DN, Nageotte MP, Major CA, Fetal Gastroschisis and Omphalocele. Am J Obstet Gynecol 1990; 163(3):773-5.

7. Wessex Regional Centre for Paediatric Surgery, Southampton General Hospital. Antenatal Diagnosis of Abdominal Wall Defects. Arch Dis Child 1990; 65(7):687-9.

8. Carlan SJ, Knuppel RA, Perez J, Flasher J. Antenatal Fetal Diagnosis and Maternal Transport GastroschisisClin Pediatr 1990; 29(7):378-81.

9. Sipes SL, Weiner CP, Sipes DR 2d. Grant SS Williamson Ra. Gastroschisis and Omphalocele. Surg Obstet Gynecol 1990; 76(2):195-9.

10. Bethel CA, Seashore JH, Touloukian RJ, Cesarean Section Does Not Improve Outcome in Gastroschisis. J Pediatr Surg 1989 24(1):1-3; Discussion 3-4.

11. Hagberg S, Hokegard KH, Rubenson A, Sillen U. Prenatally Diagnosed Gastroschisis. Z Kinderchir 1988 43(6):419-21.

12. Bond SJ, Harrison MR, Filly RA, Callen PW, Aderson RA, Golbus MS, Severity of Intestinal Damage in Gastroschisis. J Pediatr Surg 1988; 23(6):520-5.

13. Langer JC, Harrison MR, Adzick NS, Longaker MT, Crombleholme TM, Golbus MS, Anderson RL. Callen PW, Filly RA, Perinatal Management of the Fetus With an Abdominal Wall Defect . Fetal Therapy 1987; 2(4):216-21 .

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Published

1996-06-28

How to Cite

1.
Roekwibunsi S, Viravaidhya D, Chittmittrapap S, Chandrakamol B. The outcome of gastroschisis affected by timing of child delivery. Thai J Surg [Internet]. 1996 Jun. 28 [cited 2024 Dec. 23];17(2):68-73. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/250135

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Original Articles