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[Gastroschisis. Preterm elective cesarean and immediate primary closure: our experience]
P Glasmeyer1, C Grande, J Margarit
1Servicio de Cirugía Pediátrica, Hospital Mútua de Terrassa. pglasmeyer@mutuaterrassa.es
This study on gastroschisis management involving selective preterm delivery and immediate surgical closure shows promising results. This protocol likely reduces inflammatory peel, enabling earlier feeding and shorter hospital stays for newborns.
Area of Science:
- Neonatal surgery
- Pediatric surgery
- Fetal medicine
Context:
- Gastroschisis is a congenital defect requiring surgical intervention.
- Current management strategies aim to minimize complications and improve outcomes.
- This study evaluates a specific protocol for gastroschisis treatment.
Purpose:
- To assess the efficacy of a management protocol for gastroschisis.
- The protocol involves elective preterm delivery via caesarean section at 34-35 weeks gestation.
- Immediate primary abdominal wall closure is performed after birth.
Summary:
- Five patients with gastroschisis were treated using the described protocol.
- Delivery occurred at a mean gestational age of 33.94 weeks.
- No inflammatory peel was observed, and primary closure was successful with no immediate complications.
Impact:
- The protocol facilitated early initiation of oral feeding (mean 3.6 days).
- Reduced the need for parenteral nutrition and central catheters.
- Shortened the mean hospital stay to 33.4 days, with one exception due to intestinal obstruction.
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