Gastroschisis Treatment: Evaluation of Surgical Techniques and Results
Objective: Recently, achieving good cosmetic results for patients with gastroschisis has gained popularity, as since the visceral organs can be safely positioned into the abdominal cavity. We aimed to evaluate patient outcomes while focusing on the cosmetic results to contribute to the limited amoun...
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| Format: | Article |
| Language: | English |
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Galenos Publishing House
2020-10-01
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| Series: | Bezmiâlem Science |
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http://bezmialemscience.org/archives/archive-detail/article-preview/gastroschisis-treatment-evaluation-of-surgical-tec/41745
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| author | Emine İNCE Semire Serin EZER Abdülkerim TEMİZ Hasan Özkan GEZER Akgün HİÇSÖNMEZ |
| author_facet | Emine İNCE Semire Serin EZER Abdülkerim TEMİZ Hasan Özkan GEZER Akgün HİÇSÖNMEZ |
| author_sort | Emine İNCE |
| collection | DOAJ |
| description | Objective: Recently, achieving good cosmetic results for patients with gastroschisis has gained popularity, as since the visceral organs can be safely positioned into the abdominal cavity. We aimed to evaluate patient outcomes while focusing on the cosmetic results to contribute to the limited amount of data on this subject in the literature.Methods: From January 2005 to May 2018, patients operated on for gastroschisis in a single institution were evaluated retrospectively.Results: Twenty-two patients with gastroschisis were treated (10 females/12 males). The mean gestational age was 38.2±2.1 weeks. The mean birth weight was 2256.9±418.2 g. Eleven patients were diagnosed prenatally. Five patients had complex gastroschisis. Others presented with necrosis (n=3), perforation (n=3), volvulus (n=1) and jejunal atresia (n=1). Primary closure (n=16) and staged closure (n=6) were performed. Patients needed mechanical ventilation and total parenteral nutrition for 3.7±1.0 days and 24.3±9.7 days, respectively. Enteral feeding was started at 15.9±10.5 days. The duration of hospitalisation was 36.7±13.3 days. Three patients died from sepsis and multi-organ failure.Conclusion:We believe that performing appropriate gastroschisis surgery at the same hospital without transferring to another centre is the main factor in achieving a successful outcome. Good cosmetic results and visceral function were achieved in this study in 86.3% patients. |
| first_indexed | 2024-04-10T12:35:27Z |
| format | Article |
| id | doaj.art-a082e0c85251495c9d443a7e2497ab9f |
| institution | Directory Open Access Journal |
| issn | 2148-2373 2148-2373 |
| language | English |
| last_indexed | 2024-04-10T12:35:27Z |
| publishDate | 2020-10-01 |
| publisher | Galenos Publishing House |
| record_format | Article |
| series | Bezmiâlem Science |
| spelling | doaj.art-a082e0c85251495c9d443a7e2497ab9f2023-02-15T16:14:40ZengGalenos Publishing HouseBezmiâlem Science2148-23732148-23732020-10-018433834310.14235/bas.galenos.2019.327513049054Gastroschisis Treatment: Evaluation of Surgical Techniques and ResultsEmine İNCE0Semire Serin EZER1Abdülkerim TEMİZ2Hasan Özkan GEZER3Akgün HİÇSÖNMEZ4 Başkent University Faculty of Medicine, Department of Pediatric Surgery, Adana, Turkey Başkent University Faculty of Medicine, Department of Pediatric Surgery, Adana, Turkey Başkent University Faculty of Medicine, Department of Pediatric Surgery, Adana, Turkey Başkent University Faculty of Medicine, Department of Pediatric Surgery, Adana, Turkey Başkent University Faculty of Medicine, Department of Pediatric Surgery, Adana, Turkey Objective: Recently, achieving good cosmetic results for patients with gastroschisis has gained popularity, as since the visceral organs can be safely positioned into the abdominal cavity. We aimed to evaluate patient outcomes while focusing on the cosmetic results to contribute to the limited amount of data on this subject in the literature.Methods: From January 2005 to May 2018, patients operated on for gastroschisis in a single institution were evaluated retrospectively.Results: Twenty-two patients with gastroschisis were treated (10 females/12 males). The mean gestational age was 38.2±2.1 weeks. The mean birth weight was 2256.9±418.2 g. Eleven patients were diagnosed prenatally. Five patients had complex gastroschisis. Others presented with necrosis (n=3), perforation (n=3), volvulus (n=1) and jejunal atresia (n=1). Primary closure (n=16) and staged closure (n=6) were performed. Patients needed mechanical ventilation and total parenteral nutrition for 3.7±1.0 days and 24.3±9.7 days, respectively. Enteral feeding was started at 15.9±10.5 days. The duration of hospitalisation was 36.7±13.3 days. Three patients died from sepsis and multi-organ failure.Conclusion:We believe that performing appropriate gastroschisis surgery at the same hospital without transferring to another centre is the main factor in achieving a successful outcome. Good cosmetic results and visceral function were achieved in this study in 86.3% patients. http://bezmialemscience.org/archives/archive-detail/article-preview/gastroschisis-treatment-evaluation-of-surgical-tec/41745 abdominal wall defectsgastroschisisneonatal surgery |
| spellingShingle | Emine İNCE Semire Serin EZER Abdülkerim TEMİZ Hasan Özkan GEZER Akgün HİÇSÖNMEZ Gastroschisis Treatment: Evaluation of Surgical Techniques and Results Bezmiâlem Science abdominal wall defects gastroschisis neonatal surgery |
| title | Gastroschisis Treatment: Evaluation of Surgical Techniques and Results |
| title_full | Gastroschisis Treatment: Evaluation of Surgical Techniques and Results |
| title_fullStr | Gastroschisis Treatment: Evaluation of Surgical Techniques and Results |
| title_full_unstemmed | Gastroschisis Treatment: Evaluation of Surgical Techniques and Results |
| title_short | Gastroschisis Treatment: Evaluation of Surgical Techniques and Results |
| title_sort | gastroschisis treatment evaluation of surgical techniques and results |
| topic | abdominal wall defects gastroschisis neonatal surgery |
| url |
http://bezmialemscience.org/archives/archive-detail/article-preview/gastroschisis-treatment-evaluation-of-surgical-tec/41745
|
| work_keys_str_mv | AT emineince gastroschisistreatmentevaluationofsurgicaltechniquesandresults AT semireserinezer gastroschisistreatmentevaluationofsurgicaltechniquesandresults AT abdulkerimtemiz gastroschisistreatmentevaluationofsurgicaltechniquesandresults AT hasanozkangezer gastroschisistreatmentevaluationofsurgicaltechniquesandresults AT akgunhicsonmez gastroschisistreatmentevaluationofsurgicaltechniquesandresults |