Long-term review of sutureless ward reduction in neonates with gastroschisis in the neonatal unit

Choi, Wilson W.; McBride, Craig A.; Bourke, C.; Borzi, Peter; Choo, Kelvin; Walker, Rosslyn M.; Nguyen, Tuan M.; Davies, Mark W; Donovan, Tim; Cartwright, David; Kimble, Roy M.

doi:10.1016/j.jpedsurg.2012.01.010

Cited by 41 publications

(23 citation statements)

References 17 publications

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“…One disadvantage is the potential development of an umbilical hernia that may require repair in the future. Choi's 2012 study found that many of these hernias will spontaneously resolve without the need for surgical involvement [16]. We have yet to perform a careful analysis of these patients in order to determine if this is a superior approach.…”

Section: Discussionmentioning

confidence: 99%

Identifying strategies to decrease infectious complications of gastroschisis repair

Schlueter¹,

Azarow²,

Hines³

et al. 2015

Journal of Pediatric Surgery

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Section: Discussionmentioning

confidence: 99%

Identifying strategies to decrease infectious complications of gastroschisis repair

Schlueter¹,

Azarow²,

Hines³

et al. 2015

Journal of Pediatric Surgery

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“…In keeping with our assumptions, the authors of this study point to selection of a “sicker” population in patients receiving a silo as a possible explanation for better outcomes with primary closure. A similar study by Choi et al compared sutureless ward reduction (turban closure, without initial silo placement) to SLS placement and found that those patients undergoing sutureless reduction tended to have shorter TFiF, TFuF, PND, and LOS than those undergoing SLS placement (39). Again, these results are likely impacted by the method of selection, which was a combination of surgeon preference and silo after failure of sutureless reduction.…”

Section: Discussionmentioning

confidence: 99%

Primary fascial closure versus staged closure with silo in patients with gastroschisis: A meta-analysis

Kunz

Tieder

Whitlock³

et al. 2013

Journal of Pediatric Surgery

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Background/Purpose Gastroschisis is the most common congenital abdominal wall defect. Despite advances in the surgical closure of gastroschisis, consensus is lacking as to which method results in the best patient outcomes. The purpose of this meta-analysis was to compare short-term outcomes associated with primary fascial closure and staged repair with a silo in patients with gastroschisis. Methods We reviewed Medline citations, as well as the Cochrane Database of Systematic Reviews, between January 1, 1996 and June 1, 2012. Articles were identified using the search term “gastroschisis” and [(“treatment outcome” or “prognosis”) or randomized controlled trials]. Case reports, reviews, letters, abstracts only, non-English abstracts, and studies that did not address at least one of the outcomes of interest were excluded from the meta-analysis. Two independent reviewers identified relevant articles for final inclusion. A standard data collection form created by the authors was used to extract study information, including study design, patient characteristics, and reported patient outcomes. The data were analyzed using standard meta-analytic techniques. Results Twenty studies were included in the meta-analysis. In the five studies that selected closure method randomly or as a temporal shift in practice, silo was associated with better outcomes, with a significant reduction in ventilator days (p<0.0001), time to first feed (p=0.04), and infection rates (p=0.03). When all studies were included, primary closure was associated with improved outcomes. Conclusions Silo closure is associated with better clinical outcomes in the studies with the least selection bias. Larger prospective studies are needed to definitively determine the best closure technique.

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“…Göbek kordonu ile karın duvarı defekti tıkanır ve strip yapış-tırılır. Bu yöntemle uzun dönem sonuçların iyi olduğu bildirilmiştir (104) .…”

Section: Tedavi̇unclassified

Abdominal wall defects: omphalocele and gastrschisis

Yazıcı¹

2017

tcdd

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Long-term review of sutureless ward reduction in neonates with gastroschisis in the neonatal unit

Cited by 41 publications

References 17 publications

Identifying strategies to decrease infectious complications of gastroschisis repair

Identifying strategies to decrease infectious complications of gastroschisis repair

Primary fascial closure versus staged closure with silo in patients with gastroschisis: A meta-analysis

Abdominal wall defects: omphalocele and gastrschisis

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