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Article Synopsis
- Gastroschisis and omphalocele are common abdominal wall defects in newborns that can lead to serious health issues, and managing them effectively remains a challenge despite surgical advancements.!
- The retrospective study at Tikur Anbessa Specialized Hospital examined 50 neonates with these defects between August 2018 and August 2022, noting a higher incidence of associated malformations in omphalocele cases compared to gastroschisis.!
- Results indicated a higher mortality rate in gastroschisis cases (11 deaths) compared to omphalocele, with sepsis being the main cause of death, highlighting the need for improved management strategies in neonatal care.!
Outcomes of Gastroschisis and Omphalocele Treated at Children's Surgery Verified Centers in Texas.
J Surg Res
December 2024
Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, Texas; Division of Pediatric Surgery, Department of Surgery, Texas Children's Hospital, Houston, Texas. Electronic address:
Introduction: Anterior abdominal wall defects (AWDs), such as gastroschisis or omphalocele, are often diagnosed prenatally and counseled to deliver at facilities with resources capable of managing their AWD and complex-associated anomalies. The American College of Surgeons instituted their Children's Surgery Verification (CSV) program to identify facilities with the optimal resources for pediatric surgical care. We aimed to evaluate the impact of CSV status on the outcomes of AWD and potential health disparities in the care of AWD in the first year of life in Texas.
View Article and Find Full Text PDFTemporal trends in the prevalence of major birth defects in China: a nationwide population-based study from 2007 to 2021.
World J Pediatr
November 2024
National Center for Birth Defects Monitoring, West China Second University Hospital, Sichuan University, Chengdu, 610041, Sichuan, China.
Background: Birth defects constitute a significant public health issue worldwide, yet there is a lack of comprehensive population-based data for the Chinese population.
Methods: We analyzed data from the China National Population-based Birth Defects Surveillance System from 2007 to 2021, we calculated the prevalence rates of selected birth defects, stratified by maternal residence, geographic region, maternal age, and infant sex. The Joinpoint regression model was utilized to assess trends and annual percent changes in prevalence.
Optimal Strategies for Screening Common Birth Defects in Children of Low- and Middle-Income Countries: A Systematic Review.
Neonatology
October 2024
Institute for Global Health and Development, The Aga Khan University, Karachi, Pakistan.
Introduction: Congenital anomalies are one of the major causes of the global burden of diseases, and low- and middle-income countries (LMICs) are disproportionately affected. This review assesses the prenatal and postnatal screening methods and compares the prevalence of major congenital anomalies in LMICs.
Methodology: We conducted a systematic search in MEDLINE/PubMed, CINAHL, Cochrane databases of systematic reviews, clinical trials.
A case of isolated malrotation without midgut volvulus diagnosed prenatally and treated by laparoscopic surgery.
Surg Case Rep
September 2024
Department of Pediatric Surgery, Kitano Hospital, The Tazuke Kofukai Medical Research Institute, 2-4-20 Ohgimachi, Kita-Ku, Osaka, 530-8480, Japan.
Article Synopsis
- Malrotation is a congenital condition that can lead to serious bowel issues, often diagnosed by age 1, but can sometimes be identified prenatally through imaging techniques.
- A 30-year-old woman had her routine ultrasound reveal signs of malrotation in her fetus, confirmed postnatally, leading to a successful laparoscopic surgery called the Ladd's procedure shortly after birth.
- This case shows that malrotation can indeed be spotted before birth and that preventive surgery can be safely done in newborns, reducing the risk of complications like midgut volvulus.
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