Gastroschisis Prognosis

Current advances in surgical techniques and intensive care management for neonates have increased the survival rate to 90%, in adequate settings.

The possibility of prenatal diagnosis either through echosonogram or any other method available allows the mother to be referred to an adequate center where a caesarean section or induced natural birth can be performed before term (as natural birth is recommended and just as safe as with a normal baby), preferably within 2 weeks of term, and allow the immediate surgery to be performed on the newborn.

The general procedure for gastroschisis is to simply tuck the protruding organs back into the opening and apply a belly band pressure until the wound heals itself.

New advances have been pioneered in repairing the protruding bowel by placing a protective "silo" around the intestine outside the abdomen, then slowly pressuring the herniated intestine into the abdominal cavity.

This new procedure allows for the bowel to return to its intended shape and location without further traumatizing the infant's viscera with undue internal pressure.

The main cause for lengthy recovery periods in patients is the time taken for the infants' bowel function to return to normal.

The morbidity is closely related to the presence of other malformations and complications of the wound or the intestine. Patients frequently require more than one surgery.

Further Reading


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