How is intestinal atresia managed in the treatment of abdominal wall hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Intestinal atresia is common. Anastomosis at the closure operation is sometimes possible, depending on the degree of bowel thickening. Repair after a 4- to 6-week period of bowel decompression and parenteral nutrition is preferable, but this is contraindicated in the face of a large proximal-distal discrepancy or necrotic intestine. The combination of stomas and prosthetic material can be avoided in almost all patients.


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