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Abstract
Abdominal wall defects are rare,
diagnosis and management of these patients
should be optimized, identifying the most frequent clinical features. Objective: To characterize the population of patients with gastroschisis
and omphalocele treated at the Hospital Universitario San Ignacio (HUSI) over the past
10 years. Methods: All patient records were
reviewed for wall defects and treatment at
the Neonatal Intensive Care Unit (NICU) of
HUSI between 2004 and 2014. Frequencies
for the most important findings were estimated. Results: 29 patients, 18 patients with gastroschisis (62%) and 11 with omphalocele (38%)
were evaluated. Association with other malformations was present in 20 patients (68.9%) and
5 cases of patients with chromosomal abnormalities were found in the omphalocele population
(17.2%). All patients with gastroschisis and 37%
of children with omphalocele received surgical
management; 55% omphalocele patient received
medical management and 8% combined management. The average fasting time was 11.8 days
and parenteral nutrition was given during 19.8
days. No association with maternal consumption of psychoactive substances was found.
Conclusion: The wall defects were a rare condition that require special handling at the NICU
of HUSI during the years 2004-2014 29 patients
were treated, the characteristics and evolution of
our population was similar to that reported in Latin American literature although the duration of
fasting and total parenteral nutrition was lower.
No association with maternal consumption of
psychoactive substances was found.
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