Gamba Piergiorgio, Midrio Paola
Pediatric Surgery, Department of Woman and Child Health, University Hospital, Via Giustiniani 3, Padua 35121, Italy.
Pediatric Surgery, Department of Woman and Child Health, University Hospital, Via Giustiniani 3, Padua 35121, Italy.
Semin Pediatr Surg. 2014 Oct;23(5):283-90. doi: 10.1053/j.sempedsurg.2014.09.009. Epub 2014 Sep 4.
Omphalocele and gastroschisis represent the most frequent congenital abdominal wall defects a pediatric surgeon is called to treat. There has been an increased reported incidence in the past 10 years mainly due to the diffuse use of prenatal ultrasound. The early detection of these malformations, and related associated anomalies, allows a multidisciplinary counseling and planning of delivery in a center equipped with high-risk pregnancy assistance, pediatric surgery, and neonatology. At present times, closure of defects, even in multiple stages, is always possible as well as management of most of cardiac-, urinary-, and gastrointestinal-associated malformations. The progress, herein discussed, in the care of newborns with abdominal wall defects assures most of them survive and reach adulthood. Some aspects of transition of medical care will also be considered, including fertility and cosmesis.
脐膨出和腹裂是小儿外科医生需要治疗的最常见的先天性腹壁缺陷。在过去10年中，报告的发病率有所上升，主要是由于产前超声的广泛应用。这些畸形以及相关的合并畸形的早期发现，使得在配备高危妊娠援助、小儿外科和新生儿科的中心能够进行多学科咨询和分娩计划。目前，即使是分阶段进行，缺损的闭合以及大多数与心脏、泌尿和胃肠道相关的畸形的处理都是可行的。本文所讨论的腹壁缺陷新生儿护理方面的进展确保了大多数患儿能够存活并长大成人。还将考虑医疗护理过渡的一些方面，包括生育能力和美容效果。
