Document Detail

Abdominal wall defects in infants with very low birth weight.
MedLine Citation:
PMID:  10807230     Owner:  NLM     Status:  MEDLINE    
Management strategies for infants with very low birth weight (VLBW) who have abdominal wall defects essentially are the same as for those in larger infants. The authors favor primary closure in infants with gastroschisis, and have achieved this goal in 91% of infants since 1985. Treatment of infants with omphalocele is based on the size of the defect and the presence of respiratory insufficiency or severe associated anomalies. Nonoperative treatment is used initially for infants with large defects or associated anomalies, with planned closure of the resultant ventral hernia when the infant weighs 20 pounds or is 1 year old. This technique helps avoid the complications associated with mechanical ventilation and with tight primary closure such as intestinal dysfunction and wound problems.
M Reynolds
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Seminars in pediatric surgery     Volume:  9     ISSN:  1055-8586     ISO Abbreviation:  Semin. Pediatr. Surg.     Publication Date:  2000 May 
Date Detail:
Created Date:  2000-08-29     Completed Date:  2000-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9216162     Medline TA:  Semin Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  88-90     Citation Subset:  IM    
Department of Surgery, Children's Memorial Hospital, Chicago, Illinois, USA.
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MeSH Terms
Digestive System Surgical Procedures
Gastroschisis / surgery*
Hernia, Umbilical / surgery*
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / surgery*
Infant, Very Low Birth Weight*

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