A Case of Congenital Gastroschisis Repair of a Newborn Following the Cesarean Section

A 21-year-old woman was admitted at 35⁺⁴ weeks due to disappearance of fetal movement for one day. The ultrasound from other hospital indicated fetal gastroschisis. Abdominal ultrasound in our hospital confirmed that the discontinuity of the fetal abdominal wall by 4.5 cm. The stomach and part of the intestine were herniating into the amniotic cavity. Considering the possibility of gastroschisis and fetal distress, electronic fetal monitoring was implemented continuously and consultations of relevant departments were called immediately, including anesthesiology, neonatology and general pediatric surgery. After Cesarean section under general anesthesia, pediatric surgeons performed an intrapartum surgery for the neonate. The tension of abdominal wall was slightly higher after the operation, but had no significant negative effect on ventilation. After surgery, the neonate was transferred to neonatal pediatrics for further treatments. The abdominal distention of the neonate relieved gradually. The patient was discharged after receiving full enteral nutrition without any discomfort. It was found in the follow-up that the patient had no discomforts such as infection, wound dehiscence, intestinal necrosis, abdominal hernia or other complications. The prenatal examinations should be completed and the pregnant mother of gastroschisis fetus should be transferred to the experienced center where the intrapartum surgery or early stage I repair surgery is possible for the neonate.