ArticleAmerican journal of surgery2015
Contemporary trends in the use of primary repair for gastroschisis in surgical infants.
Article in American journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Variability of outcome reporting in Hirschsprung's Disease and gastroschisis: a systematic review.Scientific reports · 2016Pooled it
- Different strategies, equivalent treatment approaches in terms of mortality in four university hospitals: a retrospective multicenter study of gastroschisis in Finland.Pediatric surgery international · 2021Article
- Sutureless closure for the management of gastroschisis.Translational gastroenterology and hepatology · 2021Review
- Relationship between volume and outcome for gastroschisis: a systematic review protocol.Systematic reviews · 2020Article
- Variation in hospital costs for gastroschisis closure techniques.American journal of surgery · 2020Article
- Major abdominal wall defects in the low- and middle-income setting: current status and priorities.Pediatric surgery international · 2020Review
- Novel multidisciplinary approach to monitor and treat fetuses with gastroschisis using the Svetliza Reducibility Index and the EXIT-like procedure.Einstein (Sao Paulo, Brazil)Article
- New clues to understand gastroschisis. Embryology, pathogenesis and epidemiology.Colombia medica (Cali, Colombia)Review
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Authors and funding
5 authors.
Funding
Abstract
backgroundGastroschisis is a newborn anomaly requiring emergent surgical intervention. We review our experience with gastroschisis to examine trends in contemporary surgical management.
methodsInfants who underwent initial surgical management of gastroschisis from 1996 to 2014 at a pediatric hospital were reviewed. Closure techniques included primary fascial repair using suture or sutureless umbilical closure, and staged repair using sutured or spring-loaded silo (SLS). Data were separated into 3 clinical eras: pre-SLS (1996 to 2004), SLS (2005 to 2008), and umbilical closure (2009 to 2014).
resultsIn the pre-SLS era, 60% (34/57) of infants with gastroschisis underwent primary repair. With the advent of SLS, there was a decrease in primary repair (15%, 10/68, P < .0001). Following introduction of sutureless umbilical closure, 61% (47/77) of infants have undergone primary repair. On multivariate regression, primary repair was associated with shorter intensive care unit stays (P < .001) and time to initiate enteral nutrition (P < .01).
conclusionsFollowing introduction of a less invasive technique for gastroschisis repair, most infants with gastroschisis were able to be repaired primarily. Primary repair should be considered in all babies with gastroschisis and favorable anatomy.
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