Gynecologic surgery after repair of gastroschisis or omphalocele. A report of two cases.

Anterior abdominal wall defects, omphalocele and gastroschisis are rare fetal anomalies. Prenatal diagnosis of these conditions has improved with the widespread use of ultrasound and serum alpha-fetoprotein and amniotic fluid cholinesterase levels. Improvements in prenatal diagnosis have allowed appropriate and timely intensive care and surgical intervention, reducing morbidity and mortality. As more of these infants survive, gynecologists will more frequently encounter them as adults with a condition requiring surgical correction. Two cases demonstrate that well-planned surgery can maximize the outcome for these patients.