Abdominal Wall Defect

Respiratory Distress Syndrome

NEONATAL SURGICAL

EMERGENCIES

Abdominal Wall Defect

Defect less than 4 cm

Hypothermia

Viscera herniated

Twist mesenteries Necrose

Floating within irritating amnion fluid

Serositis

Formation thick peel

Shortening

Gastroschizis

Gastroschizis

Early treatment

�Sleep in tilt position avoid mesenteries volvulus

� and tension

�Covered viscera with wet gauze avoid

� hypothermia

�Covered infant body with plastic

Avoid hypothermia and evaporation.

�Inserted NGT 8F

�IVFD and antibiotic

Defect of umbilical ring

Covered with membrane : - Amnion

- Peritoneum

Embryology :

Abdominal space not equal with content

Management :

With dry conservative treatment

Observation other anomalies

Omphalocele

Management

Abdominal Wall Defect

Abdominal Wall Defect

Abdominal Wall Defect

Abdominal Wall Defect

NEONATAL SURGICAL

EMERGENCIES

Respiratory Distress Syndrome

Congenital Diaphragmatic HerniaCongenital Diaphragmatic HerniaRespiratory Distress Syndrome

Congenital Diaphragmatic Hernia

Treatment

Congenital Diaphragmatic Hernia

86% 7% 4% 1% <1%

Esophageal AtresiaEsophageal AtresiaRespiratory Distress Syndrome

Anatomic ClassificationAnatomic Classification

Diagnosis

Esophageal Atresia

Esophageal Atresia

EA without TEFEA without TEF

EA with TEF, pneumonia, and

upper lobe atelectasis

EA with TEF, pneumonia, and

upper lobe atelectasis

atresia esophagus dengan TEF

atresia esophagus tanpa TEF

Management

Esophageal Atresia