[Prenatal ultrasonic diagnosis of malformations and their surgical consequences--a new chapter in pediatric surgery].
The importance of antenatal diagnosis of malformations for the paediatric surgeon is highlighted on the basis of the authors' own studies. Among 34000 examinations of pregnant women we found 40 malformations (0.1%), 12 of which were surgically corrected postnatally: 6 malformations of the urinary tract, 3 intestinal atresias, 2 ovarian cysts and 1 hydrocephalus. 6 cases are described in greater detail in consideration of the special problems involved. It is stated that today practically all gross malformations can be recognised prenatally. There are three groups as follows, with their pertaining consequences: non-viable, immediate surgical correction, and postponed need for immediate intervention. The necessity of close co-operation between gynaecologist, neonatologist and paediatric surgeon is stressed, as well as the need for including the parents in the consultations. Prognosis of correctable malformations can be improved by termination of birth and immediate interdisciplinary care of the newborn.