Evaluation of the Motor Activity, Cardiopulmonary Performance Capacity and Quality of Life in Patients Born With a Congenital Abdominal Wall Defect
Evaluation of the Motor Activity, Cardiopulmonary Performance Capacity and Quality of Life in Patients Born With a Congenital Abdominal Wall Defect
The two most common congenital abdominal wall defects (AWD) are gastroschisis and
 omphalocele. Prenatal detection is often possible and the defects are differentiated by the
 presence or absence of a sac around the eviscerated organs. A omphalocele occurs in 0.6-4.8
 in 10,000 live births compared to 4.5 in 10,000 live births with gastroschisis. In the last
 years a rising incidence of gastroschisis has been shown worldwide.

 Both forms of AWDs necessitate early surgical intervention, mostly in one or two stages, and
 support at an intensive care unit in the first days of life. Additionally, patients need
 parenteral feeding in the first weeks of life. The outcome depends on the size of the defect
 and on the associated malformations.

 The literature about long-term outcome of these malformations is scarce. Some publications
 have reported long-term complications like redo-surgical procedures because of fascial gaps
 or umbilical or incisional hernias. Furthermore, stool irregularities, abdominal pain and
 several admission to the hospital due to ileus or sub-ileus have been described.
 Additionally, half of the patients are unsatisfied with the cosmetic result.

 Some other studies have shown that children born with an AWD have the same quality of life
 (QoL) compared with the healthy community.

 Nevertheless, patients with AWDs need a standardized, structured and multimodal long-time
 follow-up program to be able to detect any problems early and give advice to understand their
 illness in order to achieve the same QoL as healthy children.

 Therefore, the aim of this dissertation will be:

 -  to prospectively assess the motor activity, cardiopulmonary performance capacity and QoL
 of patients treated with AWDs in our Department

 -  to suggest a new standardized follow-up protocol for patients born with an AWD
Inclusion Criteria:

 -  All patients born with an abdominal wall defect

 Exclusion Criteria:

 -  mental disease