detorsed since he may need fluid or intotropes after detorsing. If the bowel is
compromised, wrap in warm and moist guaze and wait to see if it gets pink. If
there is a focal segment of dead intestine, consider resection with primary
anastomosis. If there is significant compromised bowel (i.e., resection may lead
to short gut), consider temposrary closre and second look laparotomy in 24 hrs.- Lyse Ladd’s bands around the duodenum, around the mesentery.
- Open and “widen” mesentery like a book.
- Appendectomy
- Replace the intestines in a configuration that keeps the base mesentery straight
and wide (small bowel on the right side and colon the on the left side).
POST-OPERATIVE:
- Extubate as tolerated.
- If significant ileus is expected, consider PICC line and TPN.
- Antibiotic therapy should be determined in the OR and communicated clearly
with the NICU team. - Feeds are started when gut function returns.
XII. CYSTIC MALFORMATIONS OF THE LUNG
Presently, cystic malformations of the lung present as a fetal diagnosis. When a
fetus is diagnosed with a thoracic mass, he or she may be considered for fetal