Abdominal Wall Defects: A Review of Current Practice Guidelines

Alyssa R Mowrer; Daniel A DeUgarte; Amy J Wagner

doi:10.1016/j.clp.2022.07.004

Abdominal Wall Defects: A Review of Current Practice Guidelines

Clin Perinatol. 2022 Dec;49(4):943-953. doi: 10.1016/j.clp.2022.07.004. Epub 2022 Oct 9.

Authors

Alyssa R Mowrer¹, Daniel A DeUgarte², Amy J Wagner³

Affiliations

¹ Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Children's Wisconsin, Administration Office, 999 North 92nd Street Suite 320, Milwaukee, WI 53226, USA. Electronic address: amowrer@chw.org.
² UCLA Division of Pediatric Surgery, Westwood Clinic Location, 200 UCLA Medical Plaza, Suite 265, Los Angeles, CA 90095, USA.
³ Division of Pediatric Surgery, Department of Surgery, Medical College of Wisconsin, Children's Wisconsin, Administration Office, 999 North 92nd Street Suite 320, Milwaukee, WI 53226, USA.

PMID: 36328609
DOI: 10.1016/j.clp.2022.07.004

Abstract

The 2 most common congenital abdominal wall defects are gastroschisis and omphalocele. Gastroschisis is a defect in the abdominal wall with exposed abdominal contents. Mortality rates are low but lengths of stay are often prolonged by bowel dysmotility and other intestinal abnormalities in complicated cases. Omphalocele is a defect through the umbilical cord with herniated abdominal contents covered by a sac. It is associated with other genetic abnormalities and other anomalies that can lead to significant morbidity and mortality. Prenatal diagnosis in both conditions allows for improved prenatal consultation and coordinated perinatal care to improve clinical outcomes.

Keywords: Abdominal wall defect; Gastroschisis; Omphalocele.

Publication types

Review

MeSH terms

Abdominal Wall* / abnormalities
Female
Gastroschisis* / diagnosis
Gastroschisis* / surgery
Hernia, Umbilical* / diagnosis
Hernia, Umbilical* / surgery
Humans
Intestines
Pregnancy
Prenatal Diagnosis