Prediction of outcome in omphalocele and gastroschisis by intraoperative measurement of intravesical pressure.
A simple and accurate measurement of intraabdominal pressure is essential to predict a successful closure of defects in omphalocele and gastroschisis. Intravesical pressure (IVP) is a close estimation of intraabdominal pressure and can be measured safely by placing a catheter in the urinary bladder during surgery. Three neonates with gastroschisis and four with omphalocele were studied. Pressure-related complications such as ascites leakage, ventral hernia, impaired venous return of the lower extremities, and oliguria developed only in the patients with IVP > 20 mmHg after fascial closure. Prolonged hospitalization, ventilation support and intensive care were required for these patients.
Department of Surgery, Veterans General Hospital-Taipei, Taiwan R.O.C.
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T
Chin
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C
Wei
D000009:Abdominal Muscles / Q000002:abnormalities* / Q000601:surgery*; D000013:Congenital Abnormalities / Q000503:physiopathology; D006554:Hernia, Umbilical / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011183:Postoperative Complications; D011312:Pressure; D001743:Urinary Bladder / Q000503:physiopathology*; D014563:Urodynamics