Immediate delivery room repair of fetal abdominal wall defects

William B. Blessed, John P. Coughlin, Mark P. Johnson, Mark I. Evans, Marvin R. Jewell, Gregory L. Goyert, David B. Schwartz, Michael D. Klein

Research output: Contribution to journalArticlepeer-review

Abstract

Eighteen patients with a prenatal diagnosis of fetal abdominal wall defect were delivered by cesarean section and repaired either immediately (begun within 15 min, n = 9), or by the traditional (delayed) method (n = 9, average delay = 4.4 h). Neonates repaired immediately had comparable gestational ages and birthweight, however, subjectively had less edematous bowel with less fibrous peel. These fetuses were more likely to be closed primarily (7/9 vs. 4/9), spent less time on a ventilator (8.1 vs. 17.9 days), seemed to be fed sooner (7.6 vs. 17.9 days), and discharged home earlier (14.3 vs. 24.0 days). Our results suggest that for fetuses delivered by cesarean section, early defect repair may reduce bowel edema and fibrous peel formation thus facilitating primary closure, with earlier ventilator weaning, feeding and discharge home.

Original languageEnglish (US)
Pages (from-to)203-208
Number of pages6
JournalFetal Diagnosis and Therapy
Volume8
Issue number3
DOIs
StatePublished - 1993

Keywords

  • Gastroschisis
  • Neonatal surgery
  • Omphalocele

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Embryology
  • Radiology Nuclear Medicine and imaging
  • Obstetrics and Gynecology

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