Wang Peng,Huang Shoujiang,Qin Qi,et al.The application of One-stage operation in treating severe abdominal wall defect and postoperative abdominal pressure variation features.[J].Journal of Clinical Pediatric Surgery,,17():122-125.
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The application of One-stage operation in treating severe abdominal wall defect and postoperative abdominal pressure variation features.

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 02 Page: 122-125 Column: 论著 Date of publication: 2018-02-28
Author(s):
Wang Peng; Huang Shoujiang; Qin Qi; Lv Chengjie; Zhao Xiaoxia; Chen Rui; Tou Jinfa.
Department of Neonatal Surgery,Childrens Hospital,School of Medicine,Zhejiang University,Hangzhou 310052,China.
Keywords:
Gastroschisis;  Hernia; Umbilical;  Abdominal Wall;  Reoperation;  Abdominal Cavity;  Pressure
Document code:
A
Abstract:
ObjectiveTo investigate the changes of intraabdominal pressure of children with severe congenital abdominal wall deficits after onestage operation.MethodsRetrospectively analyze clinical data of 15 cases of children with severe congenital abdominal wall deficit who underwent onestage operation between January 2015 and December 2016.ResultsThe intraabdominal pressure of all patients decreased significantly after 24 hours postoperation.The total respiratory support time differed from 22 hours to 364 hours and the total recovery time of intestinal function differed from 67 hours to 168 hours.All patients discharged after recovering total enteral nutrition,and then be followed up by 11 to 34 months.All patients recovered well with exception of 3 cases:one children died from vomiting and suffocation due to pneumonia after 2 months of postoperation; one premature infant who suffered from longterm feeding intolerance finally recovered after repeated enteral and external nutrition support; one children had incisional hernia after 3 months of postoperation.ConclusionAlthough there is a considerable risk of high intraabdominal pressure after onestage operation,children with severe congenital abdominalwall deficit can quickly survive this period， and achieve phase I repairmen through comprehensive perioperative care， together with longtime application of muscle relaxant and ventilator support.
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