Gastroschisis is a ventral abdominal wall congenital defect with bowel herniation outside the abdominal cavity. Gastroschisis traditional management is the primary operative closure surgery (POCS), but the sutureless silo approach (SSA), a novel alternative, gains wide acceptance in the developed countries and across nations. This study describes the first-ever gastroschisis patient managed with the sutureless silo approach in Palestine. In addition, we shall use this case as the very first nucleus for the upcoming gastroschisis management in our referral hospital because the SSA yields a reduced hospital stay which is fundamental to our institution due to the limited number of beds and lower management costs to the hospital and families.
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| http://dx.doi.org/10.1155/2020/8732781 | DOI Listing |
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Assessment of transfer-time and time-to-surgery as risk factors to survival in Gastroschisis (GS) in a LMIC; an eight-year review.
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Department of Paediatric Surgery, Kasr AlAiny Faculty of Medicine, Cairo University Specialized Paediatric Hospital, Cairo University, Ali Ibrahim Street, Mounira, Cairo, 11241, Egypt.
Background: The management of Gastroschisis in LMICs continues to be a challenge and is associated with very poor outcomes in contrast with HICs where survival rates near 100%. The purpose of this work is to provide an overview of survival over the past 8 years in a high-flow tertiary centre in Africa. It also investigates the effect of transfer-time and time-to-surgery on outcome.
View Article and Find Full Text PDFManagement of Gastroschisis: Timing of Delivery, Antibiotic Usage, and Closure Considerations (A Systematic Review From the American Pediatric Surgical Association Outcomes & Evidence Based Practice Committee).
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Division of Pediatric Surgery, Presbyterian Health System, 201 Cedar St SE Ste 4660, Albuquerque, NM 87106, USA.
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J Pediatr Surg
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Department of Surgery, Children's Mercy Kansas City, 2401 Gillham Road, Kansas City MO 64108, United States. Electronic address:
Article Synopsis
- - The study examined the rates, outcomes, and management of peri-umbilical hernias in neonates who underwent either sutured or sutureless closure for gastroschisis at 11 children's hospitals from 2013 to 2016.
- - Among 397 patients, 22.7% developed peri-umbilical hernias, with higher rates in those having uncomplicated gastroschisis and undergoing primary closures compared to silo-assisted closures.
- - Spontaneous closure of hernias was observed in 38.8% of patients, with similar closure rates in sutured and sutureless groups, suggesting that peri-umbilical hernias can be safely monitored without additional risk from the type of closure used
Sutureless closure for the management of gastroschisis.
Transl Gastroenterol Hepatol
July 2021
Division of Pediatric Surgery, Lucile Packard Children's Hospital at Stanford University, Stanford, CA, USA.
Gastroschisis is a common congenital anomaly in which the midgut fails to return to the abdominal cavity resulting in exposed intestines, which are not covered by a membrane in a neonate. The incidence of gastroschisis has been increasing worldwide resulting in an evolving medical and surgical management. Gastroschisis can be either simple or complicated.
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