Morphologic study of the intestine in an experimental model of amnioinfusion in fetal rabbits with gastroschisis
Muñoz, M.E.; Albert, A.; Juliá, V.; Sancho, M.A.; Grande, C.; Martínez, A.; Morales, L.
Cirugia Pediatrica Organo Oficial de la Sociedad Espanola de Cirugia Pediatrica 15(4): 148-151
2002
ISSN/ISBN: 0214-1221 PMID: 12601972 Document Number: 543451
An experimental model of serial amnioinfusion has been developed in fetal rabbits with gastroschisis, using an intraamniotic catheter connected to a subcutaneous port. Fetuses of 4 groups were compared 7 days after surgery: group A: gastroschisis and daily amnioinfusion through an implanted catheter; group C: gastroschisis and blind amniotic catheter; group G: gastroschisis without catheter; group O: nonoperated fetuses. Survival rate, fetal body weight, lung weight, intestinal weight and length were determined. Computer aided morphometric analysis was performed, in which intestinal diameter, thickness and villi length were measured. Amniotic fluid samples were recovered along the experimental period. Intestinal length was significantly shorter and had a significantly thicker wall than nonoperated fetuses; we found no other morphometric differences between gastroschisis treated with amnioinfusion (group A) and the other gastroschisis groups (C and G). Amnioinfusion did not affect fetal survival rate; the amniotic catheter alone did not cause pulmonary hypoplasia due to significant amniotic leak. The physiological decrease in amniotic volume towards the end of gestation has not been modified by this regime of amnioinfusion.