Abdominal Wall Disorders

An interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. Langer is professor of surgery at the University of Toronto and Head of the Division of General and Thoracic Surgery at The Hospital for Sick Children in Toronto, Canada. Table of Contents 00:00 - Introduction 03:56 - Prenatal counseling for gastroschisis 05:34 - Mode of delivery for gastroschisis 06:22 - Timing of delivery in gastroschisis 07:29 - Induction of labor in gastroschisis 08:34 - Location of delivery in gastroschisis 09:45 - Management of simple gastroschisis 11:46 - Bedside closure of gastroschisis 15:05 - Role of intubation in gastroschisis 16:54 - Does every patient require staged closure? 18:46 - Intestinal atresia and gastroschisis 20:50 - Management of association intestinal atresia 23:48 - Awaiting bowel function after gastroschisis repair 27:54 - Cryptorchidism and gastroschisis 28:26 - Prenatal counseling for omphalocele 30:06 - Mode, location, and timing of delivery in omphalocele 32:28 - Approach to giant omphalocele 35:04 - Use of the sac as the silo 39:26 - Role of silver sulfadiazine in omphalocele 42:03 - Flip flop” and mesh for omphalocele 44:44 - Pentalogy of Cantrell 45:56 - GERD and omphalocele 48:42 - Role of Ladd’s procedure in abdominal wall defects 49:57 - Kinking of hepatic vessels