GASTROSCHISIS (BELLY CLEFT)

• Gastroschisis is a defect of the anterior abdominal wall just lateral to the umbilicus.
• It is the commonest anomaly in babies born to mothers under 20 years of age
• Common in premature babies
• It is a associated with defect in the involution of 2^nd umbilical vein.
• Umbilicus is normal.
• Defect is almost to the right of umbilical cord.
• Nonrotation and intestinal atresia are common associations.
• Infants are prone to fluid loss, necrotising enterocolitis, paralytic ileus.

TREATMENT-

• Fluid management
• TPN
• Antibiotics
• R-T aspiration
• Resection and anastomosis is done (sterile silastic silo bag used in the procedure)