| Outcomes of sutureless gastroschisis closure. | |
| | |
MedLine Citation:
|
PMID: 19853753 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
INTRODUCTION: A new technique of gastroschisis closure in which the defect is covered with sterile dressings and allowed to granulate without suture repair was first described in 2004. Little is known about the outcomes of this technique. This study evaluated short-term outcomes from the largest series of sutureless gastroschisis closures. METHODS AND PATIENTS: A retrospective case control study of 26 patients undergoing sutureless closure between 2006 and 2008 was compared to a historical control group of 20 patients with suture closure of the abdominal fascia between 2004 and 2006. Four major outcomes were assessed: (1) time spent on ventilator, (2) time to initiating enteral feeds, (3) time to discharge from the neonatal intensive care unit, and (4) rate of complications. RESULTS: In multivariate analysis, sutureless closure of gastroschisis defects independently reduced the time to extubation as compared to traditional closure (5.0 vs 12.1 days, P = .025). There was no difference in time to full enteral feeds (16.8 vs 21.4 days, P = .15) or time to discharge (34.8 vs 49.7 days, P = .22) with sutureless closure. The need for silo reduction independently increased the time to extubation (odds ratio, 4.2; P = .002) and time to enteral feeds (odds ratio, 5.2; P < .001). Small umbilical hernias were seen in all patients. CONCLUSION: Sutureless closure of uncomplicated gastroschisis is a safe technique that reduces length of intubation and does not significantly alter the time required to reach full enteral feeds or hospital discharge. |
| | |
Authors:
|
Jonathan Riboh; Claire T Abrajano; Karen Garber; Gary Hartman; Marilyn A Butler; Craig T Albanese; Karl G Sylvester; Sanjeev Dutta |
Related Documents
:
|
20386323 - Feeding after percutaneous endoscopic gastrostomy in children: early feeding trial. 22954753 - Prophylactic intra-aortic balloon pump in high-risk patients undergoing coronary artery... 10932513 - Topical ciprofloxacin for bacterial corneal ulcer. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Journal of pediatric surgery Volume: 44 ISSN: 1531-5037 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 2009 Oct |
Date Detail:
|
Created Date: 2009-10-26 Completed Date: 2009-12-08 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: United States |
Other Details:
|
Languages: eng Pagination: 1947-51 Citation Subset: IM |
Affiliation:
|
Division of Pediatric Surgery, Lucile Packard Children's Hospital, Stanford University Medical Center, Stanford, CA 94305-5733, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdominal Wall
/
surgery* Case-Control Studies Child Enteral Nutrition / statistics & numerical data Fascia / surgery Gastroschisis / surgery* Hernia, Umbilical / surgery Humans Infant Length of Stay / statistics & numerical data Occlusive Dressings Patient Discharge / statistics & numerical data Postoperative Care / methods, statistics & numerical data Reconstructive Surgical Procedures / methods Retrospective Studies Suture Techniques Time Factors Treatment Outcome Umbilicus / transplantation Wound Healing |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Impact of spinal anesthesia for open pyloromyotomy on operating room time.
Next Document: Lack of insurance negatively affects trauma mortality in US children.