Abstract

Definitive closure of large congenital abdominal wall defects poses a challenge to surgeons due to the degree of visceroabdominal disproportion and the loss of abdominal domain. Additionally, many patients have an underdeveloped abdominal cavity and can have a large abdominal wall defect making primary fascial closure difficult. Although the armamentarium of strategies to treat congenital abdominal wall defects continues to expand, no single operative technique has achieved universal acceptance or success. In this chapter, we review current surgical treatment options for neonates born with gastroschisis and omphalocele.

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