[Treatment strategy and results in large covered and perforated omphaloceles and gastroschisis in newborn infants].

The primary abdominal wall closing together with complete lining of the reconstructed abdominal cavity with peritoneum has been proved optimal in gastroschisis and omphalocele therapy. Otherwise a separate replacement of each abdominal wall layer should be tried. So autologous amnion tissue can be used to replace the peritoneum as homo- and heterologous lyophilised dura tissue can serve as fascia and even further as skin. In this way infections, respiratory and circulatory insufficiency can be easier prevented.