Pokorny W J, Harberg F J, McGill C W
J Pediatr Surg. 1981 Jun;16(3):261-3. doi: 10.1016/s0022-3468(81)80676-8.
Five of 22 infants operated upon in the last 4 yr for gastroschisis had an associated loss of intestinal continuity. Four of the infants had an intestinal atresia and one had a gangrenous segment of ileum. Each had primary closure of the gastroschisis and decompression of the proximal intestine. Four had cutaneous enterostomy and one had long tube intubation. Four infants were returned to the operating room between 2 and 4 wk of age and their intestinal continuity was established. At the second operation the intestine, which had presented as a matted mass at birth, appeared normal with resolution of the serosal edema and few adhesions. The length of the intestine that initially had appeared shortened may be more accurately evaluated and is usually considerably greater than was appreciated at birth. If distal atresias are present, they will become apparent. A primary anastomosis can be carried out using the principles of repair for an isolated intestinal atresia in the newborn. All five of these infants have survived.
在过去4年中接受腹裂手术的22例婴儿中，有5例存在肠道连续性中断。其中4例婴儿有肠闭锁，1例有坏死性回肠段。每例均进行了腹裂一期缝合及近端肠管减压。4例行皮肤肠造口术，1例行长管插管。4例婴儿在2至4周龄时返回手术室并重建了肠道连续性。在第二次手术时，出生时呈纠结团块的肠管外观正常，浆膜水肿消退，粘连很少。最初看似缩短的肠管长度可得到更准确的评估，通常比出生时估计的要长得多。如果存在远端闭锁，将会显现出来。可按照新生儿孤立性肠闭锁的修复原则进行一期吻合。这5例婴儿均存活。
