Observational studyJournal of pediatric surgery2020
Immediate versus silo closure for gastroschisis: Results of a large multicenter study.
Observational study in Journal of pediatric surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis.Scientific reports · 2020Pooled it
- Early versus delayed silo closure in gastroschisis: a retrospective study.Pediatric surgery international · 2025Article
- The outcomes of treatment between primary closure and staged closure in gastroschisis in the pre and post era of the bedside wound retractor silo placement technique.Pediatric surgery international · 2025Article
- Gastrointestinal quality of life in children born with gastroschisis.Pediatric surgery international · 2024Article
- Assessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review.Pediatric surgery international · 2024Article
- Perinatal Outcomes of Neonates with Complex and Simple Gastroschisis after Planned Preterm Delivery-A Single-Centre Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2023Article
- Therapeutic Hypothermia Treatment for an Infant with Hypoxic-Ischemic Encephalopathy and Gastroschisis: A Case Report.AJP reports · 2023Article
- Short and Medium-term Outcomes of Omphalocele and Gastroschisis: A Survey from a Tertiary Center.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2022Article
- Statistical Analysis of the Main Risk Factors of an Unfavorable Evolution in Gastroschisis.Journal of personalized medicine · 2021Article
- Failure of primary closure predicts prolonged length of stay in gastroschisis patients.Pediatric surgery international · 2021Article
- Gastroschisis: A State-of-the-Art Review.Children (Basel, Switzerland) · 2020Review
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
background/purposeThe optimal method to repair gastroschisis defects continues to be debated. The two primary methods are immediate closure (IC) or silo placement (SP). The purpose of this study was to compare outcomes between each approach using a multicenter retrospective analysis. We hypothesized that patients undergoing SP for ≤5 days would have largely equivalent outcomes compared to IC patients.
methodsGastroschisis patient data were collected over a 7-year period. The cohort was separated into IC and SP groups. The SP group was further stratified based on time to closure (≤5 days, 6-10 days, >10 days). Characteristics and outcomes were compared between groups. Multivariate logistic regression was also performed.
results566 neonates with gastroschisis were identified including 224 patients in the IC group and 337 patients in the SP group. Among SP patients, 130 were closed within 5 days, 140 in 6-10 days, and 57 in >10 days. There were no significant differences in mortality, sepsis, readmission, or days to full enteral feeds between IC patients and SP patients who had a silo ≤5 days. IC patients had a significantly higher incidence of ventral hernias. Multivariate analysis revealed time to closure as a significant independent predictor of length of stay, ventilator duration, time to full enteral feeds, and TPN duration.
conclusionsOur data show largely equivalent outcomes between patients who undergo immediate closure and those who have silos ≤5 days. We propose that closure within 5 days avoids many of the risks commonly attributed to delay in closure. LEVEL OF EVIDENCE: Level II retrospective study.
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