PMID: 9537562Apr 16, 1998Paper

Staged silo repair of gastroschisis with preservation of the umbilical cord

Journal of Pediatric Surgery
H KomuroM Matsumoto

Abstract

The optimal surgical approach for gastroschisis remains controversial, although primary closure after vigorous stretching of the abdominal wall and decompression of the intestinal contents is currently preferred. Between 1984 and 1997, 24 newborns with gastroschisis were treated at Saitama Children's Medical Center. The average gestational age was 37.3 weeks, and the average birth weight was 2,285 g. One patient had the associated anomaly of intestinal atresia and short bowel. Rupture of the intestines during delivery was noted in one patient. The authors applied their nonaggressive staged repair using a prosthetic silo with preservation of the umbilical cord in 20 of the 24 cases (83.3%). Primary closure with preservation of the umbilical cord was performed in the remaining four cases (16.7%). In these patients, the gastroschisis was mild. In the 20 cases treated by staged repair, the average interval between the first and second operation was 9.8 days. Mechanical ventilation was not required in 16 of 20 (80%) patients treated by staged repair, or in two of four (50%) patients treated by primary repair. The number of days to the first feeding averaged 14.6 days in 23 cases, excluding the patient with short bowel syndrome who r...Continue Reading

References

Mar 1, 1990·Journal of Pediatric Surgery·D A CanianoM E Ginn-Pease
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Citations

May 8, 2000·Indian Journal of Pediatrics·A Puri, M Bajpai
Aug 1, 2008·Pediatric Surgery International·Thomas GelasRémi Dubois
Jun 14, 2003·Current Opinion in Pediatrics·Marc Schlatter
May 8, 2007·Journal of Perinatal Medicine·Norberto Hernández SiverioJuan Mario Troyano Luque
Mar 25, 2008·Journal of Pediatric Surgery·Surasak SangkhathatSupaporn Dissaneevate
Jun 14, 2008·Prenatal Diagnosis·Anna L DavidJoseph Curry
Jun 7, 2007·Tropical Medicine & International Health : TM & IH·Gary L DarmstadtMathuram Santosham
Mar 27, 2020·Frontiers in Bioengineering and Biotechnology·Francesca VelardeAndrés Caicedo
Aug 2, 2018·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·Guoxian HuangYonglong Wu

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