Abstract
For the first time in some 36 years of experience with gastroschisis. the author has encountered in short order both his first and second cases of gastroschisis without any thickening of the eviscerated intestine. Both infants, whose gastroschisis had been detected by maternal alphafetoprotein and ultrasound studies, were delivered by elective preterm cesarean section and were repaired easily with closure of the abdomen in layers. It is suggested that the bowel thickening and rigidity in gastroschisis may result from the trauma of labor and delivery and that elective preterm section, as soon as lung maturity can be demonstrated, may substantially improve the ease of primary repair in gastroschisis.
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Moore, T.C. Elective preterm section for improved primary repair of gastroschisis. Pediatr Surg Int 4, 25–26 (1988). https://doi.org/10.1007/BF00173079
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DOI: https://doi.org/10.1007/BF00173079