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  • Title: Prediction of outcome in omphalocele and gastroschisis by intraoperative measurement of intravesical pressure.
    Author: Chin T, Wei C.
    Journal: J Formos Med Assoc; 1994 Aug; 93(8):691-3. PubMed ID: 7858453.
    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.
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