Observational studyPediatric surgery international2026
Preterm delivery promotes a high primary reduction in simple gastroschisis and the exit-like technique may improve the outcomes.
Observational study in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
purposeThe aim of this study was to analyze the rate of primary closure and to compare the post-operative results of the classic technique with the exit-like technique in preterm newborns with simple gastroschisis.
methodsObservational, analytical, retrospective cohort study including patients diagnosed with simple gastroschisis that were divided into: Group I: preterm newborns undergoing primary closure and Group II: preterm newborns undergoing an exit-like surgical treatment. MAIN
resultsA total of 58 patients were included. 55/58 (95%) had a primary closure. The median days on mechanical ventilation was three days for group I and one day for group II (p < 0.001). The duration of parenteral nutrition was 19,7±9.9 days and 18.4±7.2 days for groups I and II respectively (p = ns). The time to full enteral feeding was 23 ± 9,9 days and 18,9 ± 5.8 days for groups I and II respectively (p = 0,02). The length of hospital stay was 28 ± 11 days in group I and 24± 8 days in group II (p = ns). The complication rate was similar in both groups.
conclusionsPreterm delivery resulted in a high rate of primary closure. The exit-like technique avoids endotracheal intubation, general anesthesia, mechanical ventilation and shortens the time to full enteral feeding in simple gastroschisis.
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