Gastroschisis is a congenital Congenital Chorioretinitis abdominal wall Abdominal wall The outer margins of the abdomen, extending from the osteocartilaginous thoracic cage to the pelvis. Though its major part is muscular, the abdominal wall consists of at least seven layers: the skin, subcutaneous fat, deep fascia; abdominal muscles, transversalis fascia, extraperitoneal fat, and the parietal peritoneum. Surgical Anatomy of the Abdomen defect characterized by the complete lack of closure of the abdominal musculature. A portion of intestine does not return to the abdominal cavity, thereby remaining in its early embryonic herniated state but with no coverings. Diagnosis is made by prenatal ultrasonography. Findings include a paraumbilical wall defect with uncovered herniated intestines. Fetal surveillance Surveillance Developmental Milestones and Normal Growth and bowel monitoring are done to measure fetal growth and amniotic fluid Amniotic fluid A clear, yellowish liquid that envelopes the fetus inside the sac of amnion. In the first trimester, it is likely a transudate of maternal or fetal plasma. In the second trimester, amniotic fluid derives primarily from fetal lung and kidney. Cells or substances in this fluid can be removed for prenatal diagnostic tests (amniocentesis). Placenta, Umbilical Cord, and Amniotic Cavity volume, as well as observe any bowel changes. The mode and timing of delivery depend on these factors. Neonatal care includes protection of the exposed bowel, fluid resuscitation Resuscitation The restoration to life or consciousness of one apparently dead. . Neonatal Respiratory Distress Syndrome, and airway Airway ABCDE Assessment maintenance. Primary closure can be performed within hours of birth. The presence of a large gastroschisis or thickened and dilated bowel warrants delayed closure, with the use a bowel covering or “silo,” and serial bowel reduction.
Last updated: Sep 22, 2022
Gastroschisis is a full-thickness defect of the anterior abdominal wall Anterior abdominal wall The anterior abdominal wall is anatomically delineated as a hexagonal area defined superiorly by the xiphoid process, laterally by the midaxillary lines, and inferiorly by the pubic symphysis. Anterior Abdominal Wall: Anatomy through which the intestine and/or other abdominal viscera freely protrude.
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