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The Use of a Fixation Dressing to Reduce Complications After Neonatal Gastrostomy Tube Placement. | LitMetric

AI Article Synopsis

  • Gastrostomy tubes (GTs) are frequently used in neonatal surgery but often face complications, with around one-third of patients experiencing issues such as pain or infection.
  • A study was conducted on patients under 1 year who had laparoscopic GT placement to explore the effectiveness of a fixation dressing in reducing these complications post-operation.
  • Results showed that while the dressing did not prevent hypertrophic granulation tissue, it significantly reduced complications, with no infections or readmissions, indicating its potential as a simple, cost-effective preventative strategy.

Article Abstract

Gastrostomy tubes (GTs) are one of the most common procedures in neonatal surgery, and their malfunction represents one of the most common complaints in the emergency room and clinic. Complications can occur in up to one-third of patients and include pain, peristomal leak, and infection, but can range in severity. We hypothesize that a preventative strategy employing a GT fixation dressing at the time of operation minimizes these postoperative complications in neonates. All patients less than 1 year of age who underwent laparoscopic GT placement by a single surgeon in the study period were reviewed. All tubes were secured in place on the external abdominal wall for 2 weeks postoperatively. Demographics and outcomes were evaluated. Fifty-three percent of our cohort were male, and 47% were premature. The most common indication for placement was failure to thrive (59%), and common comorbid conditions were characterized as neurologic (71%), and cardiac (59%). The dressing did not prevent hypertrophic granulation tissue formation, but no patient experienced surgical site infection or device-related pressure injury at 30 and 120 days postoperatively. No patient required reoperation or readmission. This simple, one-time, cost-effective fixation dressing has the potential to reduce some of the most common postoperative surgical issues in neonatal patients and can be applied in almost any health care setting. A dressing aimed at tube fixation and immobilization for the first two postoperative weeks averts some of the major complications of GT placement over a standard follow-up period as compared with the literature.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7099412PMC
http://dx.doi.org/10.1089/wound.2019.0999DOI Listing

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