Prediction of outcome in omphalocele and gastroschisis by intraoperative measurement of intravesical pressure

J Formos Med Assoc. 1994 Aug;93(8):691-3.

Abstract

A simple and accurate measurement of intraabdominal pressure is essential to predict a successful closure of defects in omphalocele and gastroschisis. Intravesical pressure (IVP) is a close estimation of intraabdominal pressure and can be measured safely by placing a catheter in the urinary bladder during surgery. Three neonates with gastroschisis and four with omphalocele were studied. Pressure-related complications such as ascites leakage, ventral hernia, impaired venous return of the lower extremities, and oliguria developed only in the patients with IVP > 20 mmHg after fascial closure. Prolonged hospitalization, ventilation support and intensive care were required for these patients.

MeSH terms

  • Abdominal Muscles / abnormalities*
  • Abdominal Muscles / surgery*
  • Congenital Abnormalities / physiopathology
  • Hernia, Umbilical / physiopathology
  • Hernia, Umbilical / surgery*
  • Humans
  • Infant, Newborn
  • Postoperative Complications*
  • Pressure
  • Urinary Bladder / physiopathology*
  • Urodynamics