Aim of the study: Optimal surgical treatment of patients with gastroschisis remains controversial. Recent studies suggest better outcomes with secondary closure techniques surgical or preformed silo. The purpose of the study is to identify differences in outcome of infants treated with traditional primary closure PC versus surgical silo SS. Patients and methods: Retrospective study of patients primarily treated of gastroschisis between and
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Aim of the study: Optimal surgical treatment of patients with gastroschisis remains controversial. Recent studies suggest better outcomes with secondary closure techniques surgical or preformed silo. The purpose of the study is to identify differences in outcome of infants treated with traditional primary closure PC versus surgical silo SS. Patients and methods: Retrospective study of patients primarily treated of gastroschisis between and Patients were divided in PC and SS according to abdominal wall closure.
Primary closure was performed on 17 and 10 underwent surgical silo placement with a median of 6 days till secondary closure.
There were no significant differences regarding sex, gestational age or birthweight between groups. Post-operative complications 5vs6 and median length of stay 36vs43 days were also similar in PC and SS patients.
One patient ultimately died due to catheter-related sepsis. Mean length of stay in hospital was 42 days Conclusion: Patients with gastroschisis who underwent primary closure showed shorter ventilator support and PN dependency than those treated with surgical silo. However, SS is as safe and effective technique as PC and led to similar outcome regarding digestive autonomy and hospital length of stay.
Algunos autores sugieren mejores resultados del cierre diferido CD frente al cierre primario CP. Pacientes y metodos: Estudio retrospectivo de pacientes con gastrosquisis entre y Resultados: Se incluyeron 27 pacientes 14V,13M.
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Eur J Pediatr Surg. Epub Dec PMID: No free ride? The hidden costs of delayed operative management using a spring-loaded silo for gastroschisis. Lobo JD, et al. J Pediatr Surg. Preformed silos versus traditional abdominal wall closure in gastroschisis: infants at a single institution.
Charlesworth P, et al. Epub Oct Improved outcomes in the treatment of gastroschisis using a preformed silo and delayed repair approach. Schlatter M, et al. PMID: Review. The role of preformed silos in the management of infants with gastroschisis: a systematic review and meta-analysis.
Ross AR, et al. Pediatr Surg Int. Epub Mar Show more similar articles See all similar articles. Cited by 1 article The influence of gestational age, mode of delivery and abdominal wall closure method on the surgical outcome of neonates with uncomplicated gastroschisis. Fraga MV, et al. Epub Feb 7. Female Actions. Humans Actions. Infant Actions. Length of Stay Actions. Male Actions. Postoperative Complications Actions. Retrospective Studies Actions. Treatment Outcome Actions.
2017, Número 3
Received: May 29; Accepted: February Gastroschisis is a low-prevalence disease with a very good prognosis, if initial management is adequate. This paper attempts to describe the disease and highlight the importance of correct treatment at the primary care level. Newborn child diagnosed with gastroschisis in a primary care center, referred to the Neonatology Service of a tertiary care institution.
Diagnosis of recurrent gastroschisis in Cali, Colombia : A case report and review of the literature. Rev Colomb Obstet Ginecol [online]. ISSN Objective: To review the literature on the pathophysiology of gastroschisis, in particular as refers to the theories of the genetic aetiology of this condition. Materials and methods: Presentation of a clinical case of a foetus and subsequent neonate diagnosed with gastroschisis, born to a mother with a prior history of another child with gastroschisis.
Monitoring the prenatal detection of structural fetal congenital anomalies in England and Wales: register-based study. J Med Screen [Internet]. Neonatal abdominal wall defects. Warkany J.