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Fette Andreas is a Consultant Pediatric Surgeon with a big interest in Newborn Surgery and Newborn Intensive Care. He likes to be in charge for Neonatal Surgery within the German Perinatal Centers. Besides his clinical engagements, he has published more than 80 original papers, contributed to 18 book chapters and has been serving as an Editorial Board Member of repute.
Abdominal wall defects in newborns have an incidence of approximately 1:2000 live births and are considered to be the result out of a failure in the embryonic development sequence when the physiological umbilical cord herniation of the viscera fails to return back into the abdominal cavity before the 11th week of gestational age. The most common types are “gastroschisis” and “omphalocele”. In Germany, these babies are usually deliverd in a Level I Perinatal Centre and treated right from the beginning by an interdisciplinary team of obstetricians, neonatologist, NICU nurses, pediatric anesthetists and pediatric surgeons. Soon after stabilization of the newborn, usually surgical closure of the defect follows. For this closure several different techniques do exist in our neonatal surgical textbooks. In this communication an overwiew about these surgical techniques is given based on a lecture series held in our institution for all staff members involved. In a short appendix a novel technique with its advantages und disadvantages is discussed and shared with the audience.