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Jesse Thompson, MD; Eric W. Fonkalsrud, MD

Arch Surg. 1976;111(6):684-687.

Abstract
• During the past 11 years, 18 infants with gastroschisis abdominal wall defects have undergone surgical repair at the UCLA Hospital. Sixteen infants had skin flap closure in infancy. A gastrostomy was performed on all infants, and peripheral intravenous hyperalimentation was used in 14 of the 18 infants. Sixteen of the 18 infants (89%) lived more than one year after surgical repair. Of these, 12 have undergone second-stage closure of the ventral hernia. Operative repair was greatly facilitated by forceful stretching of the abdominal musculature and milking of the bowel contents proximally into the stomach and distally out through the anus. The low morbidity and mortality of gastroschisis repair by primary skin closure, supplemented by intravenous hyperalimentation with late secondary ventral hernia repair, appear to justify continued use of this technique. Prosthetic materials probably should be reserved for reconstructing more complex abdominal wall defects.

(Arch Surg 111:684-687, 1976)

Author Affiliations
From the Division of Pediatric Surgery, University of California at Los Angeles School of Medicine.

Footnotes
Accepted for publication Feb 4, 1976.

Read before the annual meeting of the Southern California Chapter of the American College of Surgeons, Newport Beach, Calif, Jan 18, 1976.

Reprint requests to Center for Health Sciences, University of California School of Medicine, Los Angeles, CA 90024 (Dr Fonkalsrud).

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