Approach to abdominal wall defects Quiz: Ace Your Exams
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A newborn boy is delivered at 36 weeks' gestation via emergency cesarean section for fetal heart rate decelerations. The mother had no prenatal care and reported frequent tobacco use during pregnancy. There was no history of fever, recent illness, or substance use other than tobacco. Rupture of membranes occurred at the time of delivery. The delivery proceeded without complication, and Apgar scores are 6 and 8 at 1 and 5 minutes, respectively. Temperature is 37°C (98.6°F), pulse is 130/min, respirations are 35/min, blood pressure is 69/36 mm Hg, and oxygen saturation is 97% on room air. On physical examination, a full-thickness abdominal wall defect is noted to the right of the umbilicus with herniated bowel and no associated sac. The remainder of the examination is unremarkable. Which of the following is the best next step in management?
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