Technical improvements in the management of omphalocele and gastroschisis.

1. Omphalocele and gastroschisis carried a poor prognosis (50 per cent survival) until the last half decade. 2. The use of a temporary prosthetic covering for the exposed viscera has strikingly altered the outlook in these conditions. 3. Ventilatory assistance, when required, and the ability to monitor blood gases have contributed also to the improved survival rates. 4. In gastroschisis the capability of giving total intravenous nutrition has allowed survival through the long period of bowel dysfunction common in the postoperative period.