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Continuing Education in Anaesthesia, Critical Care & Pain Advance Access originally published online on March 4, 2009
Continuing Education in Anaesthesia, Critical Care & Pain 2009 9(2):48-51; doi:10.1093/bjaceaccp/mkp001
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© The Author [2009]. Published by Oxford University Press on behalf of The Board of Directors of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournal.org

Exomphalos and gastroschisis

Rini Poddar, MBBS DA FRCA
SpR in Anaesthesia
Central Manchester and Manchester
Children's University Hospitals Trust
Manchester M13 9WL
UK

Lucy Hartley, MB ChB FRCA
Consultant Paediatric Anaesthetist
Central Manchester and Manchester
Children's University Hospitals Trust
Oxford Road
Manchester M13 9WL
UK
Tel: +44 161 276 4551 Fax: +44 161 276 8027 E-mail: lucy.hartley@cmmc.nhs.uk

The first 150 words of the full text of this article appear below.


Key points

Exomphalos and gastroschisis are two distinct clinical entities which present with herniation of the abdominal contents at birth.
The vast majority of these anomalies are diagnosed antenatally, allowing planned delivery in a tertiary neonatal centre.
Seventy-two per cent of neonates with exomphalos have an associated congenital anomaly.
Repair maybe primary or staged.
These neonates are highly susceptible to dehydration and heat loss before repair of their abdominal wall defect.
Improved survival is related to optimal preoperative and postoperative care.

 

Exomphalos (omphalocoele) is a central abdominal wall defect that allows herniation of abdominal viscera into the umbilical cord. A membrane (consisting of Wharton's jelly, peritoneum, and amnion) covers the viscera. During the 6th week of development, the embryonic intestine develops rapidly and migrates through the umbilical ring into the cord. In the normal fetus, the intestine returns to the abdominal cavity within the following 4 weeks. This return is . . . [Full Text of this Article]


   Associated anomalies
 

   Antenatal diagnosis and management
 

   Post-delivery management and preoperative preparation
 

   Surgical and anaesthetic management
 

   Postoperative care
 

   Complications
 

   Prognosis
 

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