he disproportion between extra-abdominal visceral bulk and concomitant expensile capacity of the intra-abdominal volume is the most immediate threat to survival in infants with either a sizable gastroschisis or-the large forms of omphalocele.
Under
theses circumstances, the forceful return of eviscerated visceral bulk to their abdominal cavity invites disaster. The extreme increase in intra-abdominal pressure that results not only thrusts the diaphragm upward and, thereby, severly limits
ventilatory exchange but also prevents, through compression of the inferior vena cave, free return of venous blood to the heart.
Recently auther have a case of a large omphalocele and three Cases of gastroschis closed primarily using a procedure increasing the size of the abdominal cavity by the seperation of skin flap, external- and internal-oblique muscles, and
transversal
muscles with peritoneum, respectively. This procedure was obtained after five small puppy(Mean age; 5 days, mean weight; 2.0kg). were used for the animal experiment. I belive that this procedure can accomplish the primary closure of the
gastroschisis,
omphalocele or major diaphragmatic hernia; with disproportion the some degree of the eviscerated visceral bulk and the size of the abdominal cavity; with are rare necessary for ventilatory support and elimination of infectious or other
complications
those can be occurred by other procedures.
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