Contemporary trends in the use of primary repair for gastroschisis in surgical infants

American Journal of Surgery
Patrick M ChesleyPatrick J Javid

Abstract

Gastroschisis is a newborn anomaly requiring emergent surgical intervention. We review our experience with gastroschisis to examine trends in contemporary surgical management. Infants 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). In 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). Following 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 fa...Continue Reading

References

Aug 1, 1995·Journal of Pediatric Surgery·J D FischerH G Andrews
Aug 31, 1999·Journal of Pediatric Surgery·C L Snyder
May 12, 2004·Journal of Pediatric Surgery·Anthony SandlerRobert Soper
May 20, 2008·Journal of Pediatric Surgery·Robert L WeinsheimerUNKNOWN Canadian Pediatric Surgery Network
Oct 27, 2009·Journal of Pediatric Surgery·Jonathan RibohSanjeev Dutta
Aug 6, 2010·Pediatric Surgery International·Andrew J A HollandNadia Badawi
Aug 21, 2012·Journal of Pediatric Surgery·Wilson W ChoiRoy M Kimble

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Citations

Mar 14, 2016·Journal of Pediatric Surgery·Fouad YoussefRobert J Baird
Sep 14, 2016·The Journal of Surgical Research·James X WuDaniel A DeUgarte
Jun 16, 2017·Archives of Disease in Childhood. Fetal and Neonatal Edition·Annelieke HijkoopTitia E Cohen-Overbeek
Sep 20, 2016·Obstetrical & Gynecological Survey·Rachel V O'ConnellRobert A Strauss
Sep 4, 2020·Systematic Reviews·Johannes MorcheDawid Pieper
Mar 23, 2020·Pediatric Surgery International·Lofty-John Chukwuemeka AnyanwuUdo Rolle
Jan 13, 2018·Journal of Tissue Engineering and Regenerative Medicine·Åsa EkbladCecilia Götherström
Jan 30, 2019·Journal of Perinatology : Official Journal of the California Perinatal Association·David F GrabskiJeffrey W Gander
Mar 15, 2021·American Journal of Surgery·Gillian C PetPatrick J Javid
Jul 27, 2021·Journal of Pediatric Surgery·Shin MiyataUNKNOWN Canadian Pediatric Surgery Network (CAPSNet)

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