Omphaloceleandgastroschisisrepresentthemostfrequentcongenitalabdominalwalldefectsa pediatricsurgeoniscalledtotreat.Therehasbeenanincreasedreportedincidenceinthepast10years mainlyduetothediffuseuseofprenatalultrasound.Theearlydetectionofthesemalformations,and relatedassociatedanomalies,allowsamultidisciplinarycounselingandplanningofdeliveryinacenter equippedwithhigh-riskpregnancyassistance,pediatricsurgery,andneonatology.Atpresenttimes, closureofdefects,eveninmultiplestages,isalwayspossibleaswellasmanagementofmostofcardiac-, urinary-,andgastrointestinal-associatedmalformations.Theprogress,hereindiscussed,inthecareof newborns withabdominalwalldefectsassuresmostofthemsurviveandreachadulthood.Someaspects of transitionofmedicalcarewillalsobeconsidered,includingfertilityandcosmesis
Abdominal wall defects:prenatal diagnosis, newborn management, and long-term outcomes
GAMBA, PIERGIORGIO;MIDRIO, PAOLA
2014
Abstract
Omphaloceleandgastroschisisrepresentthemostfrequentcongenitalabdominalwalldefectsa pediatricsurgeoniscalledtotreat.Therehasbeenanincreasedreportedincidenceinthepast10years mainlyduetothediffuseuseofprenatalultrasound.Theearlydetectionofthesemalformations,and relatedassociatedanomalies,allowsamultidisciplinarycounselingandplanningofdeliveryinacenter equippedwithhigh-riskpregnancyassistance,pediatricsurgery,andneonatology.Atpresenttimes, closureofdefects,eveninmultiplestages,isalwayspossibleaswellasmanagementofmostofcardiac-, urinary-,andgastrointestinal-associatedmalformations.Theprogress,hereindiscussed,inthecareof newborns withabdominalwalldefectsassuresmostofthemsurviveandreachadulthood.Someaspects of transitionofmedicalcarewillalsobeconsidered,includingfertilityandcosmesisPubblicazioni consigliate
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