scholarly journals Vaginal birth vs caesarean delivery: impact on gastroschisis anatomy in newborns (a 33-year experience)

2021 ◽  
pp. 15-19
Author(s):  
O.K. Sliepov ◽  
N.Y. Zhylka ◽  
V.L. Veselskyi ◽  
N.Y. Skrypchenko ◽  
T.V. Avramenko ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Abdominal Wall ◽  
Caesarean Delivery ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Delivery Mode ◽  
Wall Defect ◽  
Abdominal Organs ◽  
Group I

Background. Despite the existence of numerous studies on the optimal delivery mode in gastroschisis (GS), their results remain controversial. Therefore, the presented study is focused on establishing the delivery mode impact on GS anatomy in newborns.Research objective. The study was conducted to determine the impact of the delivery mode on the features of GS anatomy in newborns.Materials and methods. A retrospective analysis of medical records of 135 pregnant women and 135 their newborns with GS born between 1987 and 2020 was conducted. All newborns are divided into 3 groups. Newborns delivered by caesarean section are included in group I (n = 80); children born exclusively naturally are included in groups II (n = 25) and III (n = 30). The following anatomical features of GS in newborns were studied: localization and size of the anterior abdominal wall defect, confluence with the abdominal cavity, the nature and frequency of the eventrated organs.Results. The size of the anterior abdominal wall defect was significantly smaller in children with GS delivered by caesarean section (3.02 ± 0.58 cm; p < 0.01) than in children born naturally (4.17 ± 0.3 cm in group II, 4.7 ± 0.29 cm in group III). The frequency of retroperitoneal organs eventration was significantly less (20.0%; p < 0.01) in caesarean delivery grope than in II and III groups (52% and 63.3%, respectively). There was no significant difference in frequency of other abdominal organs eventration, localization of the anterior abdominal wall defect and confluence with the abdominal cavity. Level of evidence – III. Conclusions. The mode of delivery affects the size of abdominal wall defect and frequency of the abdominal organs eventration in newborns with GS.

scholarly journals New prospects for ultrasound examination of abdominal organs state in newborn children with gastroschisis

2018 ◽  
pp. 220-225
Author(s):  
M. I. Pykov ◽  
Е. A. Filippova ◽  
O. V. Teplyakova ◽  
Е. I. Dorofeeva ◽  
N. N. Dzhandzhgava
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Surgical Repair ◽  
Ultrasound Examination ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Intestinal Wall ◽  
Wall Defect ◽  
Abdominal Organs

Gastroschisis is a complex anterior abdominal wall defect requiring urgent surgical repair. Oneor two-stage surgery to return the intestines to the abdominal cavity may result in developing acute renal failure. Preservation of the Arantsiev duct lumen provokes serious changes in the portal vein system. The state of the microcirculatory bloodstream in the intestinal wall clearly correlates with the clinical data indicating the restoration of the passage through the gastrointestinal tract.

DIAGNOSTIC CRITERIA FOR VISCEROABDOMINAL DISPROPORTION SYNDROME IN GASTROSCHISIS

2021 ◽  
Vol 100 (6) ◽  
pp. 53-59
Author(s):  
D.A. Plokhikh ◽  
◽  
D.E. Beglov ◽  
K.A. Kovalkov ◽  
◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Analytical Study ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Intestinal Wall ◽  
Cross Sectional ◽  
Anatomical Structures ◽  
Wall Defect ◽  
Intestinal Tube ◽  
Significant Factors

The objectives of this study were to determine the frequency and search for additional criteria for the diagnosis of visceroabdominal disproportion syndrome (VADS) in newborns with gastroschisis. Materials and methods of research: prospective controlled observational cross-sectional analytical study was carried out in 61 newborns with gastroschisis, admitted from June 2009 to July 2021. To search for the most significant factors indicating the presence of VADS, the following parameters were recorded in the studied patients: the size of the defect in the anterior abdominal wall, the composition of eventrated organs, the presence of a conglomerate of intestinal loops, the diameter of the intestinal tube, the thickness of the intestinal wall, the degree of visceroabdominal disproportion (VAD). Results: VAD was detected in 50 (82%) newborns with gastroschisis. In 10 (17%) cases, VAD was mild, in 27 (44%) – moderate, and in 13 (21%) patients – severe. A moderate direct relationship was found between the size of the anterior abdominal wall defect (r=0.29, p=0.022), intestinal tube diameter (r=0.56; p=0.001) and the severity of VAD. There was a strong direct correlation between the thickness of the intestinal wall, and the frequency and severity of VAD (r=0.93, p=0.001). A direct association was found between the presence of a conglomerate of intestinal loops in the eventrated organs and the frequency of VAD (p=0.002). There was no statistically significant relationship between the number of eventrated anatomical structures with the frequency and degree of VAD (p=0.36). Conclusion: to determine VADS, it is advisable to diagnose the following pathological conditions in patients with gastroschisis: thickening of the intestinal wall, dilatation of the intestinal tube, the presence of a conglomerate of tightly welded eventrated organs, the severity of which is directly proportional to the degree of disproportion.

scholarly journals Management of Anterior Abdominal Wall Defect Using a Pedicled Tensor Fascia Lata Flap: A Case Report

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
K. D. Ojuka ◽  
F. Nangole ◽  
M. Ngugi
Keyword(s):  
Abdominal Wall ◽  
Road Traffic ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Fascia Lata ◽  
Tensor Fascia Lata ◽  
Wall Defect ◽  
Degloving Injury ◽  
Tensor Fascia Lata Flap ◽  
Degloving Injuries

Degloving injuries to anterior abdominal wall are rare due to the mechanism of injury. Pedicled tensor fascia lata is known to be a versatile flap with ability to reach the lower anterior abdomen. A 34-year-old man who was involved in a road traffic accident presented with degloving injury and defect at the left inguinal region, sigmoid colon injury, and scrotal bruises. At investigation, he was found to have pelvic fracture. The management consisted of colostomy and tensor fascia lata to cover the defect at reversal. Though he developed burst abdomen on fifth postoperative day, the flap healed with no complications.

scholarly journals HYDRANENCEPHALY WITH ANTERIOR ABDOMINAL WALL DEFECT- A CASE REPORT

2019 ◽  
Vol 6 (38) ◽  
pp. 2603-2605
Author(s):  
Ritu Saloi ◽  
Roonmoni Deka ◽  
Santanu Kumar Sarma
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Wall Defect

One of Curious Congenital Midline Abdominal Defects In Newborn: A Giant Omphalozele In A 3 Years-Old Boy

2021 ◽  
Author(s):  
Stefan Bittmann
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Abdominal Wall Defects ◽  
Wall Defect ◽  
Lateral Abdominal Wall ◽  
The Third ◽  
Abdominal Organs ◽  
Wall Components ◽  
Congenital Abdominal Wall Defects

Omphalocele is one of the congenital abdominal wall defects and specifically refers to an umbilical ring defect in which the abdominal organs protrude in front of the abdominal wall in a thin sac or membrane. Such an abdominal wall defect develops around the third week of pregnancy due to the failure of adhesion between the embryonic lateral abdominal wall components.

scholarly journals First trimester diagnosis of body stalk anomaly complicated by ectopia cordis

2020 ◽  
Vol 48 (12) ◽  
pp. 030006052098021
Author(s):  
Yi Yang ◽  
Hong Wang ◽  
Zhenpeng Wang ◽  
Xuefeng Pan ◽  
Ying Chen
Keyword(s):  
Abdominal Wall ◽  
Umbilical Cord ◽  
Chromosomal Abnormalities ◽  
Abdominal Wall Defect ◽  
First Trimester ◽  
Nuchal Translucency ◽  
Ectopia Cordis ◽  
Wall Defect ◽  
Abdominal Organs ◽  
Increased Risk

Body stalk anomaly is a rare abnormality characterized by an abdominal wall defect with evisceration of abdominal organs, severe kyphoscoliosis, and a very short or absent umbilical cord. Ectopia cordis (EC) is a rare, lethal anomaly characterized by complete or partial malpositioning of the heart outside of the thorax. A 28-year-old healthy primigravida was referred to our department to undergo a nuchal translucency thickness scan at 12 weeks’ gestation. The scan revealed typical features of body stalk anomaly and EC. Given the lethal condition of the fetus, the patient opted for termination of the pregnancy. Body stalk anomalies, especially those complicated by EC, are universally lethal for the affected fetus. Selective termination should be recommended to avoid possible complications that can arise during pregnancy. Additionally, the future parents should be informed that because the condition is not associated with chromosomal abnormalities, there is no increased risk of recurrence.

scholarly journals Exomphalos Major in Adults: A Treatment Modality

2016 ◽  
Vol 02 (02) ◽  
pp. 066-069
Author(s):  
Tanweerul Huda ◽  
Ashok Mhaske
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Adult Female ◽  
Treatment Modality ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Wall Defect ◽  
High Degree ◽  
Standard Techniques

AbstractOmphalocele (OC) is a congenital abdominal wall defect (CAWD) at the site of the umbilical ring with evisceration of the bowel covered by a three-layered membrane of peritoneum, Wharton's jelly, and amnion. It is associated with an underdeveloped abdominal cavity and a high degree of viscera abdominal disproportion. An adult female giant OC patient was treated at our hospital using the component separation technique (CST) after reviewing different standard techniques. No evidence of any compartment syndrome or ventral hernia was detected postoperatively. Giant OC in an adult healed in the same way using CST as in an infant with favorable outcomes.

Dmitry Oscarovich Ott — the foundator of endoscopy in gynecology

2021 ◽  
Vol 50 (3) ◽  
pp. 8-14
Author(s):  
E. K. Ailamazyan ◽  
E. F. Kira ◽  
Yu. V. Tsvelev ◽  
V. F. Bezhenar ◽  
A. A. Bezmenko
Keyword(s):  
Abdominal Wall ◽  
Anterior Abdominal Wall ◽  
Abdominal Cavity ◽  
Abdominal Organs ◽  
First Time

On April 19, 1901, at a meeting of the St. Petersburg Obstetric and Gynecological Society, Professor Dmitry Oskarovich Ott for the first time made a report on the method he developed for illuminating the abdominal cavity when performing operations with a vaginal access. He called the proposed method ventroscopy (ventroscopia; Latin venter stomach + Greek skopeo consider). The latter used terms such as celioscopy, abdominoscopy, pelvioscopy, etc. At present, it is customary to call the examination of the abdominal organs using an endoscope inserted through the anterior abdominal wall, the method of laparoscopy, and when the endoscope is introduced through the posterior vaginal fornix - cultoscopy.

Hypospadia and omphalocele in a French Bulldog – case report

2019 ◽  
Vol XXIV (143) ◽  
pp. 54-58
Author(s):  
Sérgio Diego P. Costa ◽  
Durval Baraúna Junior ◽  
Jamilly N. Ramos Costa ◽  
Cássia Regina Oliveira Santos ◽  
Pâmela Raiely Pinheiro Moreira ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Congenital Defects ◽  
Wall Defect ◽  
Hereditary Predisposition ◽  
Doberman Pinscher ◽  
Abdominal Organs ◽  
French Bulldog ◽  
English Bulldog

Hypospadia and omphalocele are rare congenital defects reported in various breeds, including the Doberman Pinscher, English Bulldog, French Bulldog, Basenji, and Dalmatian. Hypospadia is characterized by a defect in the fusion of the penile foreskin associated with persistent opening of the ventral urethral sulcus. Omphalocele is an abdominal wall defect, most common at the umbilical site, that may lead to evisceration of abdominal organs. Some dog breeds are suspected to have an hereditary predisposition to these conditions, but the etiology is still poorly understood, and believed to be multifactorial. We report a case of omphalocele and hypospadia in a French Bulldog neonate on which euthanasia was performed.

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