| Abdominal wall defects and obstructive uropathies. Aetiology and management. | |
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MedLine Citation:
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PMID: 2978493 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Gastroschisis and omphalocele (exomphalos) are embryologically distinct, and for this reason each has its own distinct constellation of associated anomalies. The perinatal management of both gastroschisis and omphalocele addresses the controversy as to the best mode of delivery that has been expressed in the literature with regard to gastroschisis and has exercised many of those involved in antenatal diagnosis in the case of omphalocele. The post-delivery management of both of these defects is briefly discussed. Controversies surrounding the aetiology of renal dysplasia and whether urinary tract obstruction is a cause of dysplasia or an anomaly associated with dysplasia are also discussed. The options for therapy and the indications for an in utero shunting procedure are outlined as well as the controversy centred around the utility of an in utero shunt. The need for a prospective randomised trial is emphasised, together with the difficulty that is raised by the need to choose a limited number of prospective indices on which treatment decisions in such a trial must be based. The need for a long-term follow-up of all patients entered in such a trial is emphasised. |
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Authors:
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K C Pringle |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Fetal therapy Volume: 3 ISSN: 0257-2788 ISO Abbreviation: Fetal Ther Publication Date: 1988 |
Date Detail:
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Created Date: 1989-10-26 Completed Date: 1989-10-26 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8700083 Medline TA: Fetal Ther Country: SWITZERLAND |
Other Details:
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Languages: eng Pagination: 67-83 Citation Subset: IM |
Affiliation:
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Department of Surgery, Wellington School of Medicine, New Zealand. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Muscles
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abnormalities*,
surgery Abnormalities, Multiple* / etiology, surgery Hernia, Umbilical / etiology, surgery Hernia, Ventral / etiology, surgery Humans Infant, Newborn Kidney / abnormalities*, surgery Polycystic Kidney Diseases / etiology Ureteral Obstruction / etiology, surgery Urethral Obstruction / etiology, surgery Urinary Tract / abnormalities*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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