Gastroschisis

A Retrospective Study of 91 Cases with Gastroschisis or Omphalocele 1956-1985

“…Some prefer primary anastomosis without enterostomy (2,29), others primarily only enterostomy with postponed anastomosis (19,21). Amoury (2) has recommended that if the atresia is not obvious or easily dealt with primarily, only the abdominal wall defect should be treated at the first operation, proximal decompression instituted and the atresia be repaired 2 or 3 weeks later.…”

“…None 21 (4) 8 (1) 29 (5) Total 34 (1 0) 24 (1 1) 58 (21 ) Seventeen per Cent of the patients with omphalocele and 61 O/ o of those with gastroschisis had a birth weight below 2 500 grams (Table 11).…”

Gastroschisis

“…All defects were to (9,9) 3,020(6,10) 2,900(6,6) 2,680 (5,14) Weight at discharge, gm (lb, oz) 2,480 (5,8) 3,300(7,4) 2,620 (5,12) 4,640(10,4) 3,710 (8,3) 3,425 (7,9) 3,520 (7, At surgery, the abdomen and exposed viscera were cleansed with a povidone-io¬ dine solution. All arrived with exposed viscera covered with saline-moistened dressings, swaddled in blankets.…”

Gastroschisis

“…Defects to the left and above the umbilicus have been reported, as well as defects measuring up to 15 cm. [1][2][3][4][5][6][7][8][9] Small bowel and colon participated in the evisceration in all patients, the stom¬ ach in ten, and the bladder and uterus in two. Major associated anomalies are con¬ sidered rare.11011 However, all of our pa¬ tients had nonrotated bowels, which un¬ doubtedly is related to the herniation that prevents normal fixation of the mesentery.…”