J.Jpn. Surg. Soc.. 91(9): 1310-1313, 1990

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Report on the annual meeting

THE PRESENT STATUS AND THE FUTURE OF THE SURGICAL TREATMENT OF CONGENITAL ABDOMINAL WALL DEFECTS

In the last 27 years we experienced 63 cases of congenital abdominal wall defects includihg 26 cases with omphalocele proper (omphalocele), 10 cases with hernia into the umbilical cord (cord hernia) and 27 cases with gastroschisis. The survival rates of each condition were 65%, 90% and 85% respectively, and in over all 78%. The surgical results markedly improved after the introduction of the parenteral nutrition and adequate artificial ventilation for the neonates with these diseases. The skin flap method for patients with omphalocele, the primary fascial closure for patients with cord hernia and gastoschisis were thought to be acceptable operative procedures for each condition. Antenatal diagnosis by ultrasonographic examination is beneficial for postnatal operative correction for some patients. There are several clinical and ethical problems, however, such as an association of other congenital severe anomalies and the termination of pregnancy in the patients who were diagnosed prenatally.

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