[Current aspects of laparoschisis. Apropos of 22 cases].
Study about 22 gastroschisis observed 17 years along allows to the authors to point out the elements of amelioration of prognostic and decrease of mortality. Antenatal diagnosis allows the hysterotomy at the end of gestation avoiding traumatic or infectious risks. Reanimation and transport are very important to bring the neonate in good conditions to the pediatric surgeon. The choice of surgical technics is only between primitive parietal closure or progressive reintegration (Schuster). Intestinal atresia must be cured in the same time, if possible. Finally, perisurgical nursing, antibiotherapy and recent parenteral nutrition method improved the prognosis. During the last 15 years, mortality has fallen from 80% to 10%.
D000009:Abdominal Muscles / Q000002:abnormalities* / Q000601:surgery; D000768:Anesthesia, General; D005260:Female; D005500:Follow-Up Studies; D005774:Gastrostomy; D006801:Humans; D007231:Infant, Newborn; D007409:Intestinal Atresia / Q000601:surgery; D011183:Postoperative Complications; D011247:Pregnancy; D011296:Prenatal Diagnosis; D014187:Transportation of Patients; D014463:Ultrasonography
Aspects actuels du laparoschisis. A propos de 22 observations.