Gastroschisis and Omphalocele : I. Initial Management before Admission.

Abstract

Gastroschisis and Omphalocele are congenital anomalies in the group of anterior abdominal wall defect in which the abdominal content protruded through the defect.  Their severities ranged from minor anomalies to severe deformities which contribute to death.  However, with modern medical technology, we can save many of these unfortunate babies, if the management is done properly since birth.

This retrospective study was based on the data obtained from in-patient babies of Gastroschisis and Ompholocele admitted at Srinagarind Hospital from September 1982 to August 1986.  In 4 years, there were 42 patients, 13 Omphalocele and 29 Gastroschisis cases.  The mortality rate was 64.28%.

Three factors are responsible for the causes of death; first, the initial management before admission; second, the management after admission and third; the patients themselves.  This report will state how the initial management before admission affected their mortality.  A suggestion of various steps on initial management was given.