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Abdominal wall defects (omphalocele and gastroschisis)

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The most important points

  • In abdominal wall defects, there is already a defect in the anterior abdominal wall before birth and organs in the abdominal cavity are displaced outwards.
  • Expectant parents receive counselling from our team after diagnosis by prenatal ultrasound and are cared for during pregnancy, birth, the newborn period and infancy until treatment is completed.
  • Surgical therapy is customised to your child and can consist of a single procedure shortly after birth or gradual closure over a longer period of time.

Clinical picture

What is an abdominal wall defect?

In the case of omphalocele and gastroschisis abdominal wall defects, there is already a defect in the anterior abdominal wall in the area of the navel before birth. The organs of the abdominal cavity are displaced outwards by the defect. In omphalocele, the intestine and parts of the liver are typically displaced outwards and surrounded by a sheath, whereas in gastroschisis the intestine is displaced outwards without a sheath.

Symptoms

What are the typical signs of an abdominal wall defect?

Information will follow.

Diagnosis

How is an abdominal wall defect diagnosed?

The diagnosis of an abdominal wall defect is usually made prenatally using ultrasound. If an abdominal wall defect is suspected, our paediatric surgery team will provide prenatal counselling for the parents.

Therapy

How can an abdominal wall defect be treated?

The delivery should take place at a centre hospital. Depending on the type and size of the defect, the weight and due date of the newborn and possible concomitant diseases, there are various treatment options for abdominal wall defects. While some defects can be closed in a single operation shortly after birth, others require gradual closure. The paediatric surgery team at the UKBB is proficient in all common surgical methods and adapts the treatment to the individual needs of your child. The current AWMF guidelines, which are followed by all German-speaking clinics, were written by our team and published in 2020.

Hospitalisation

What happens during my child's hospitalisation?

The length of hospitalisation depends mainly on the type and size of the defect, as well as possible concomitant diseases. It can last from one week to several months.

Forecast

What is the prognosis for an abdominal wall defect?

While omphalocele can be associated with other conditions, gastroschisis usually occurs in isolation. The prognosis of omphalocele depends mainly on possible concomitant diseases. However, both clinical pictures can be treated well surgically and have a good prognosis without concomitant malformations.

Literature

Further reading

  • Abdominal wall defects (gastroschisis and omphalocele). AWMF Guidelines. 03/2020. Vuille-dit-Bille RN, Bielicki IN, Holland-Cunz SG
  • Abdominal Wall Defects-Current Treatments. Children 2021 Bielicki IN, Somme S, Frongia G, Holland-Cunz SG, Vuille-dit-Bille RN

Responsible department

Who treats this clinical picture?

Counselling hotline for child and youth emergencies

The Medgate Kids Line provides quick and uncomplicated medical advice if your child is unwell. The medical team of our partner Medgate is available to you by telephone around the clock.

058 387 78 82
(billing via health insurance)

For emergencies abroad: Call the emergency number of your health insurance company. You will find this number on your health insurance card.

More information: On the Page of the emergency ward you will find everything you need to know about behaviour in emergencies, typical childhood illnesses and waiting times.

Important emergency numbers

144 Outpatient clinic
145 Tox Info Suisse (Poisonings)
117 Police
118 Fire brigade

UKBB

University Children's Hospital Basel
Spitalstrasse 33
4056 Basel | CH

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