title: Abdominal wall defects: prenatal diagnosis, newborn management, and long-term outcomes.
abstract: 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.
authors.affiliation: Pediatric Surgery, Department of Woman and Child Health, University Hospital, Via Giustiniani 3, Padua 35121, Italy. Electronic address: piergiorgio.gamba@unipd.it.
authors.forename: Piergiorgio
authors.initials: P
authors.lastname: Gamba
authors.affiliation: Pediatric Surgery, Department of Woman and Child Health, University Hospital, Via Giustiniani 3, Padua 35121, Italy.
authors.forename: Paola
authors.initials: P
authors.lastname: Midrio
mesh_terms: D034861:Abdominal Wall / Q000002:abnormalities* / Q000601:surgery*; D019468:Disease Management; D020139:Gastroschisis / Q000175:diagnosis / Q000601:surgery*; D006554:Hernia, Umbilical / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D011296:Prenatal Diagnosis / Q000379:methods*; D016896:Treatment Outcome
keywords: Abdominal wall defects; Gastroschisis; Omphalocele; Surgery