Abdominal Wall Defects
Also covered as: gastroschisis · omphalocele · intestinal atresia · giant omphalocele · necrotizing enterocolitis · umbilical hernia · abdominal compartment syndrome · Hirschsprung disease
Educational content from recorded physician discussions — not medical advice. Always talk to your child's care team about your child's situation.
Answers come only from this collection's statement ledger and cite the exact moment · not medical advice
Content of this collection
Foundations
2 items
Intestinal rehabilitation: What is intestinal rehab? - Episode 1
Watch →
We’re starting a new series about intestinal rehabilitation and all of its intricacies. We’re joined by Drs. Michael Helmrath and Paul Wales, leaders of the Intestinal Rehabilitation Program at Cincinnati Children’s. Hosted by: Todd Ponsky,
video · 14:33 · Dec 2021
Intestinal Rehabilitation, Episode 1: What is intestinal rehabilitation?
Listen →
We’re starting a new series about intestinal rehabilitation and all of its intricacies. We’re joined by Drs. Michael Helmrath and Paul Wales, leaders of the Intestinal Rehabilitation Program at Cincinnati Children’s. Hosted by: Todd Ponsky,
podcast · 14:33 · Dec 2021
Acute Management
1 item
Gastroschisis: Advanced Practice Providers
Watch →
Joyce Slusher, MSN, CNP, presents on perioperative management of gastroschisis for advanced practice providers.
video · 43:21 · Jan 2019
Medical Management
1 item
Intestinal Failure with Dr. Brad Warner
Listen →
Discussion with Dr. Brad W. Warner about intestinal failureWhat is intestinal failure?An umbrella term for when the small bowel is unable to digest and absorb an adequate amount of nutrients to sustain a patient through enteral means alone.
podcast · 52:46 · Dec 2020
Nutritional Management
1 item
Update Course 2022 - UPDATES IN GASTROSCHISIS FEEDING PROTOCOLS - Jason Fraser, Beth Rymeski, and Steven Lee
Watch →
In this session we discuss protocols for feeding gastroschisis patients with Drs. Jason Fraser, Beth Rymeski, and Steven Lee.
Articles discussed:
Minimizing Variance in Gastroschisis Management Leads to Earlier Full Feeds in Delayed C
video · 21:09 · Sep 2022
Surgical Management
10 items
Approach and component separation for suture closure and underlay mesh...
Watch →
During the Pediatric Surgery Tricks of the Trade and Difficult Cases: Innovative Solutions to Common Problems Course in 2013, directors DrsTodd Ponsky, Robert Parry, and Jacob Langer, along with faculty including Drs David van der Zee, Suad
video · 31:03 · Sep 2018
Tricks - Omphalocele - Approach & Component Separation For Suture Closure &...
Watch →
This segment displays a presentation of omphalocele, separation of components and closure of the abdominal wall. The topics discussed include incision placement, component separation, patch closure, ideal time to operate, early versus delay
video · 32:30 · Nov 2018
Sutureless Gastroschisis Repair: Technique
Watch →
This video demonstrates the technique of the sutureless plastic closure for gastroschisis. This can be performed at the bedside in the NICU without a trip to the operating room. This was originally described by Bianchi and then modified by
video · Jan 2019
Staged Closure of Gastroschisis with Spring-loaded Silo
Watch →
This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video · 27:29 · Feb 2020
Staged Closure of Gastroschisis with Spring-loaded Silo
Watch →
This video appears in a new pediatric surgery textbook, Clinical Pediatric Surgery: A Case-Based Interactive Approach," by Dr. Sherif Emil. The book is an innovative educational resource that focuses on judgment and decision-making in pedia
video · 27:11 · Feb 2020
Sutureless Closure of Gastroschisis - APSA Practice Gaps 2019
Watch →
At the 7th Annual Pediatric Surgery Update Course, Dr. Saleem Islam discusses sutureless closure of gastroschisis, one of the 2019 practice gaps identified by the American Pediatric Surgical Association’s Professional Development Committee.
video · 21:04 · Mar 2020
Umbilical Cord Defects with Dr. Kenneth Azarow
Listen →
This podcast discusses the work up and management of umbilical cord defects. Dr. Todd A. Ponsky is an associate professor of surgery and pediatrics and pediatric surgeon at Akron Children's Hospital. Dr. Kenneth S. Azarow is surgeon-in-chie
podcast · 30:16 · Dec 2020
Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
Watch →
Anna-Maria Ziegler, Daniel Svoboda, Britta Lüken-Darius, Andreas Heydweiller, Fritz Kahl, Sophie Christine Falk, Udo Rolle, Till-Martin Theilen
Purpose: Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gast
video · 0:56 · Nov 2024
Umbilical Disorders with Dr. Rebeccah Brown
Listen →
In this podcast, we explore the conditions, and treatment strategies related to umbilical disorders in newborns and young children with Dr. Rebeccah Brown from Cincinnati Children's.
From umbilical coard anatomy and infections like ompha
podcast · 11:27 · Jan 2025
Update Course Rewind: Omphalocele & Gastroschisis 2020
Listen →
Abdominal wall defects like omphalocele and gastroschisis can present in interesting ways. At last year
podcast · 15:18 · Jun 2026
Complications
1 item
Error Traps and Culture of Safety in Abdominal Wall Defects
Watch →
This video highlights a few key points from the "Error Traps and Culture of Safety in Abdominal Wall Defects" article published in Seminars in Pediatric Surgery, provided by lead author Dr. Sherif Emil . Find the full article at: www.scienc
video · Oct 2019
Evidence & Research
16 items
91% Decrease in Mortality with Gastroschisis Bundle!
Watch →
By adopting a gastroschisis bundle protocol, a group from Hospital Infantil de México Federico Gomez was able to reduce their mortality from 22% to just 2%! Congratulations to Cristian Zalles-Vidal, Jaime Nieto-Zermeño, and the other author
video · 3:12 · Dec 2018
Immediate vs Silo Closure for Gastroschisis
Watch →
Dr. Ponsky reviews his takeaways from the JPS article, “Immediate Versus Silo Closure for Gastroschisis: Results of a Large Multicenter Study.”Link to full article: https://gcmd.co/2PItKT3
video · 0:26 · Dec 2019
Gastroschisis and sutureless abdominal wall closure
Listen →
Dr. Rod Gerardo and Dr. Todd Ponsky talk to Dr. Jason Fraser about the paradigm shift in gastroschisis management that is still in flux. Plus a deep dive into Dr. Fraser's recent publication: "Sutureless vs sutured abdominal wall closure fo
podcast · 12:17 · Jan 2021
Journal of Pediatric Surgery Article Review: January 2022 APSA Issue
Listen →
We're back with the January issue of JPS article highlights. This time we're talking to editor Dr. Cassandra Kelleher and authors Drs. Gail Besner, Shahrazad Joharifard and Sarah Stokes with Dr. Todd Ponsky. Hosts: Ellen Encisco, Em Tombash
podcast · 13:09 · Feb 2022
Quick Literature Updates Episode 6
Watch →
We’re back with sixth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review four articles covering the most int
video · May 2023
Quick Literature Updates Episode 11
Watch →
We’re back with eleventh episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. This episode, we will review three articles covering the mo
video · Jul 2023
Association of Exclusive Breast Milk Intake and Outcomes in Infants With Uncomplicated Gastroschisis: A National Cohort Study
Watch →
New article review by Alex Halpern, MD!
Full text: https://www.jpedsurg.org/article/S0022-3468(24)00077-0/fulltext
Background: Enteral feeding is an essential part of the management of infants with gastroschisis. We hypothesized that
video · 0:56 · Aug 2024
Journal of Pediatric Surgery Article Review: 2nd Quarter (Apr-Jun) 2024
Listen →
We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the second quarter of 2024, April, May, and June issues. This time we're talking to editors Drs. Mary Bri
podcast · 17:03 · Sep 2024
Journal of Pediatric Surgery Article Review: 3rd Quarter (Jul-Sep) 2024
Listen →
We are back with another episode of our Journal of Pediatric Surgery article review podcast. This time we have three publications from the third quarter of 2024, July, August and September issues. This time we're talking to editors Drs. Col
podcast · 19:28 · Oct 2024
Management of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations
Watch →
Mark B Slidell, Jarod McAteer, Doug Miniati, Stig Sømme, Derek Wakeman, Kristy Rialon, Don Lucas, Alana Beres, Henry Chang, Brian Englum, Akemi Kawaguchi, Katherine Gonzalez, Elizabeth Speck, Gustavo Villalona, Afif Kulaylat, Rebecca Rentea
video · 0:55 · Jan 2025
Quick Literature Updates Episode 16
Watch →
We’re back with sixteenth episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most inte
video · 4:21 · Jan 2025
Quick Literature Updates Episode 20
Watch →
We’re back with 20th episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video · 4:03 · Jun 2025
Quick Literature Updates Ep 22
Watch →
We’re back with 22nd episode of "Quick Literature Updates" the podcast series that delivers the latest updates in pediatric surgery literature in a quick and digestible format. In each episode, we review articles covering the most interesti
video · 4:23 · Oct 2025
A multi-institutional comparison of management techniques for infants with giant omphalocele
Watch →
Alyssa Stetson, Samantha Leonard Katherine Flynn-O'Brien, Seth Goldstein, Tiffany Wright, Cynthia Downard, Kyle J Van Arendonk, Charles M Leyes, Linda Cherney-Stafford, Karen Speck, Peter C Minneci, Troy A Markel, Shawn D St Peter, Dave La
video · 0:51 · Jan 2026
A multi-institutional comparison of management techniques for infants with giant omphalocele
Watch →
Alyssa Stetson, Samantha Leonard, Katherine Flynn-O'Brien, Seth Goldstein, Tiffany Wright, Cynthia Downard, Kyle J Van Arendonk, Charles M Leyes, Linda Cherney-Stafford, Karen Speck, Peter C Minneci, Troy A Markel, Shawn D St Peter, Dave La
video · 0:51 · Feb 2026
Surgeon annual volume impacts recurrence rates of pediatric inguinal hernia repairs: A multi-institutional study
Watch →
Kathleen Heller, Brielle V Ochoa, Stephanie F Brierley, Benjamin E Padilla; Pediatric Inguinal Hernia Collaborative Group; Amir Alhajjat, Emily Byrd, Stephanie D Chao, Christopher Clinker, Jose Diaz-Miron, Goeto Dantes, R Scott Eldredge, El
video · 0:54 · Feb 2026
Case-Based Learning
6 items
Abdominal Wall Defects
Watch →
Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video · 37:50 · Nov 2018
Bilateral Wilm's Tumor - Complex Gastroschisis - Complex Ileal Atresia:...
Watch →
Dr. Anthony Sandler discusses bilateral Wilm's tumors, complex gastroschisis, and complex ileal atresia.
video · 29:44 · Nov 2018
Compiled Sandler Rapid Fire Sessions: Update Course 2015
Watch →
Dr. Anthony Sandler from Children's National Medical Center leads the discussion in a rapid fire format for multiple cases, including management of Wilms tumor, gastroschisis, and complex ileal atresia.
video · 29:44 · Jan 2019
Abdominal Wall Defects: Update Course 2013
Watch →
Dr. Jacob Langer discusses various abdominal wall defects through case presentation.Topics of discussion include atresia, gastroschisis, fascial defects, staged closure by silo, and ruptured omphalocele.
video · 37:40 · Jan 2019
Gastroschisis - Clinical Practice Updates
Watch →
This clip from the 2020 Pediatric Surgery Update Course features, Miguel Guelfand, MD; Shawn St. Peter, MD; and Saleem Islam, MD; presenting challenging cases for review by our panelists.
Highlighted Topics Include:
- Omphalocele
- Pul
video · Sep 2020
Gastroschisis
Watch →
This clip from the 2020 Pediatric Surgery Update Course features, Miguel Guelfand, MD; Shawn St. Peter, MD; and Saleem Islam, MD; presenting challenging cases for review by our panelists.Highlighted Topics Include:- Omphalocele- Pulmanary h
video · Jun 2026
In-Depth Reviews
8 items
Abdominal Wall Defects with Dr. Jacob Langer
Listen →
Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast · 52:45 · Jan 2019
7th Annual Pediatric Surgery Update Course 2019 - FULL SHOW
Watch →
8:10am - APSA PDC TOP 10 - Review of 2018 Top Ten, Antibiotic stewardship, New concept in small bowel obstruction, Adherence to the Surviving Sepsis campaign guidelines and New APSA Trauma committee solid organ injury protocol10am - APSA PD
video · 285:42 · Jul 2020
Cloacal Exstrophy with Dr. Alberto Peña
Listen →
Discussion between Dr. Alberto Pena and Dr. Todd Ponsky about cloaca exstrophyPodcast Discussion:What is cloacal exstrophy?A group of congenital diseases involving the lower gastrointestinal tract, urogenital tract, spine, and even the lowe
podcast · 53:06 · Dec 2020
Abdominal Wall Defects with Dr. Jacob Langer
Listen →
Dr Jacob Langer discusses abdominal wall defects with Dr. Todd Ponsky.Edited by Ian C. Glenn, MD and Sophia Abdulhai, MDAn interactive discussion about gastroschisis and omphalocele between Todd Ponsky, MD and Jacob "Jack" Langer, MD. Dr. L
podcast · 52:45 · Dec 2020
Omphalocele and Gastroschisis With Dr. Foong-Yen Lim
Listen →
Omphalocele and Gastroschisis are abdominal wall defects that develop in-utero and surgically treated post-birth. Join Dr. Foong-Yen Lim, Surgical Director of the Cincinnati Children’s Fetal Care Center, and Dr. Todd Ponsky to discuss the p
podcast · 9:31 · Feb 2022
Omphalocele & Gastroschisis
Watch →
Abdominal wall defects like omphalocele and gastroschisis can lead to potentially complex postnatal care which is why today we are going to discuss some key knowledge points from Dr. Foong-Yen Lim: pediatric surgeon at Cincinnati Children’s
video · 9:32 · Mar 2022
Update Course 2021: UPDATE COURSE 2020: REVIEW OF LAST YEAR'S IMPORTANT T OPICS
Watch →
General surgery residentRodrigo Gerardo, MD reviews the highlights from the 2020 Update Course including MMP7 for diagnosing biliary atresia, complex gastroschisis, and so much more.
video · 23:20 · May 2022
Update Course Rewind: 2022 Top Ten Key Takeaways
Watch →
The 10th annual Pediatric Surgery Update Course was held as a webinar on August 30, 2022. We had a lot of lively discussion and engaging presentations on the latest updates in pediatric surgery. In this video we are reviewing the top ten ke
video · Jun 2023
Patient & Family Education
2 items
What is Omphalocele? An ERNICA animation for parents and families
Watch →
Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video · 3:19 · Dec 2023
What is Gastroschisis? An ERNICA animation for parents and families
Watch →
Animation video [in English]. Target audience: Parents and families. The video could also be used as an explanatory tool by healthcare professionals.
For further details about this condition, possible complications and specialised care,
video · 2:59 · Dec 2023
Long-Term Care
1 item
Educational Outcomes in School-Aged Children With a History of Simple and Complex Gastroschisis are Poor Compared to Controls
Watch →
Osamuyi Asemota, Gabrielle Derraugh, Matthew Levesque, Anna C Shawyer, Suyin A Lum Min, Richard Keijzer
Background: Research on long-term cognitive outcomes of children with gastroschisis is limited and inconsistent. This study aimed to
video · 0:53 · Apr 2025
Share & build on it
Want more on this topic?+ Show
The story of this collection+ Show
Featured chapters & key critical points+ Show
Featured picks for families are being prepared — the summaries above are written for you.
What we know now+ Show
The doctors+ Show
Inside the topic+ Show
Every statement below comes from the recorded discussions, with its speaker and moment.
Intestinal Rehabilitation, Episode 1: What is intestinal rehabilitation?
Intestinal failure is defined as insufficient gut function to absorb enough nutrients, fluids, and calories to support survival and, in children, growth
clinicalPaul Wales2:05 ↗
For a patient to be defined as having intestinal failure, they must have inadequate intestinal function necessitating parenteral support for at least 60 days
guidelineRod Gerardo2:24 ↗
An intestinal rehabilitation program is a multidisciplinary collaborative patient care paradigm that brings coordinated care for children with intestinal failure through comprehensive management of their specialized nutrition and associated needs
clinicalPaul Wales3:03 ↗
Short bowel syndrome is by far the most common category of intestinal failure in pediatric patients
epidemiologicalPaul Wales4:50 ↗
Causes of short bowel syndrome include congenital anomalies such as intestinal atresia, malrotation, volvulus, gastroschisis, and long segment Hirschsprung's disease
clinicalPaul Wales5:06 ↗
Acquired diseases of the newborn such as necrotizing enterocolitis can cause short bowel syndrome
clinicalPaul Wales5:18 ↗
Motility disorders occur when the bowel is unable to push contents through in a coordinated way due to abnormalities of the muscle itself or the nerves that control that muscle
clinicalPaul Wales5:45 ↗
Congenital enteropathies are conditions where the patient has all of their bowel but the mucosa does not work, leading to hypersecretion and profuse fluid losses
clinicalPaul Wales6:17 ↗
Some patients will have elements of two or three categories of intestinal failure in the way they present
clinicalPaul Wales7:11 ↗
A child with gastroschisis could have short bowel because it was not all viable, inflammation affecting absorption, and motility issues
clinicalEllen Encisco7:22 ↗
Older pediatric patients can develop intestinal failure from inflammatory bowel disease or Crohn's disease where they have lost gut as a result of complications
clinicalPaul Wales7:56 ↗
Trauma, malignancy, and vascular thrombosis leading to gut loss are diagnoses seen more in older patients or adult series and less in pediatrics
epidemiologicalPaul Wales8:04 ↗
There are three time points where families reach intestinal rehabilitation programs: prenatal diagnosis, postnatal acquired problems, and later presentations after discharge
clinicalMichael Helmrath8:53 ↗
Prenatal diagnoses that lead to intestinal rehabilitation typically include atresia with cystic fibrosis and gastroschisis
clinicalMichael Helmrath9:15 ↗
Postnatal acquired problems leading to intestinal rehabilitation include volvulus and necrotizing enterocolitis
clinicalEllen Encisco9:29 ↗
Dietitians play a key role in understanding the nutritional needs of children in intestinal rehabilitation
opinionMichael Helmrath11:52 ↗
Social work is a key component of the intestinal rehabilitation team
opinionMichael Helmrath12:01 ↗
The survival overall in big intestinal rehabilitation programs is usually over 90% long-term survival
epidemiologicalRod Gerardo12:34 ↗
Children with intestinal failure who survive long-term now develop chronic comorbidities including renal dysfunction, metabolic bone disease, neurocognitive issues, and quality of life issues
clinicalPaul Wales12:46 ↗
Earlier recognition and taking advantage of the biology of the gut to adapt are time dependent
clinicalMichael Helmrath2:40 ↗
Intestinal rehabilitation streamlines care and improves communication with families and between care providers and team members
opinionPaul Wales3:55 ↗
Intestinal rehabilitation comes down to key factors that drive the process: nutrition in the gut, nutrition in the body, and healing
clinicalMichael Helmrath4:07 ↗
Pattern recognition from multiple eyes on a baby who have seen them over time is important in intestinal rehabilitation
opinionMichael Helmrath4:19 ↗
Intestinal rehabilitation: What is intestinal rehab? - Episode 1
Intestinal failure is defined as insufficient gut function to absorb enough nutrients, fluids, and calories to support survival and, in children, growth
clinicalPaul Wales2:05 ↗
New guidelines define intestinal failure as requiring parental support for at least 60 days
guidelineRod Gerardo2:24 ↗
An intestinal rehabilitation program is a multidisciplinary collaborative patient care paradigm providing coordinated care for children with intestinal failure through comprehensive management of specialized nutrition and associated needs
clinicalPaul Wales3:03 ↗
Short bowel syndrome is by far the most common category of intestinal failure in pediatric patients
epidemiologicalPaul Wales4:50 ↗
Causes of short bowel syndrome include congenital anomalies such as intestinal atresia, malrotation, volvulus, gastroschisis, and long segment Hirschsprung's disease
clinicalPaul Wales5:06 ↗
Acquired diseases of the newborn such as necrotizing enterocolitis cause short bowel syndrome
clinicalPaul Wales5:18 ↗
Motility disorders occur when abnormalities of the intestinal muscle itself or the nerves that control that muscle prevent coordinated movement of food and stool
clinicalPaul Wales5:45 ↗