Surgical closure

The aim of surgery in both conditions is the return of abdominal contents to the abdominal cavity and closure of the overlying skin. In some cases this can be achieved in one surgical procedure (primary closure) but in many instances the abdominal cavity is not of sufficient volume to accommodate the eviscerated organs. In these cases a staged closure is performed in which a 'silo' is attached under the fascia around the base of the defect and completely encloses the eviscerated abdominal contents. This gives the intestine protection from dehydration and contains the bowel within a manageable sac, reducing the risk of intestinal damage. The silo is gradually reduced in size as the abdominal cavity allows and the skin is closed in a final operation. The prognosis for infants with both these conditions in the absence of co-existing abnormalities is good.

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