Single-center 10-year experience in the management of anterior abdominal wall defects

Rahn, S.; Bähr, Melanie; Schalamon, Johannes; Saxena, Amulya K.

doi:10.1007/s10029-008-0336-6

Cited by 11 publications

(10 citation statements)

References 20 publications

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“…Evidently, availability of preformed silastic silo, elective ventilation, and parenteral nutrition in developed countries has reduced the morbidity and mortality in many centres, and treatment is often completed in 2-3 weeks with good outcome. [18,24,25] In the absence of parenteral nutrition, we ensured regular haematocrit check, adequate blood and plasma transfusion, and early commencement of enteral feeding.…”

Section: Discussionmentioning

confidence: 99%

Challenges and outcomes of management of anterior abdominal wall defects in a Nigerian tertiary hospital

Abdur-Rahman

Abdulrasheed

Adeniran

2011

Afr J Paediatr Surg

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Section: Discussionmentioning

confidence: 99%

Challenges and outcomes of management of anterior abdominal wall defects in a Nigerian tertiary hospital

Abdur-Rahman

Abdulrasheed

Adeniran

2011

Afr J Paediatr Surg

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“…Antenatal loss and early postnatal presurgical loss occur in the majority, although with unknown incidence. Early postoperative death is common in patients with complex cardiac anomalies, or in those having postoperative complications like respiratory insufficiency, bowel dismotility, intraabdominal and pulmonary hypertension . Late deaths are usually a complication of cardiac dysfunction, infections, or adhesive small bowel obstruction .…”

Section: Discussionmentioning

confidence: 99%

A successful early gore‐tex reconstruction of an abdominal wall defect in a neonate with Cantrell pentalogy: a case report and literature review

Divković

Kvolik

Sipl

et al. 2014

Clinical Case Reports

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Key Clinical MessageA surgical technique, materials used for abdominal wall reconstruction, and postoperative care are important for patient outcomes. We report the first case of neonate with Cantrell's pentalogy surviving early reconstruction of abdominal, diaphragmal and pericardial defects. Several recent investigations suggest that intraabdominal pressure monitoring may improve outcomes in this patient category.

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“…The contrast-enhanced test performed before the ostomy closure surgery revealed that there was malrotation in the other patient. Because of less parenteral nutrition and shorter hospital stay, primary closure of the gastroschisis is still considered an ideal correction (2)(3)(4). However, a tight closure during primary fascia repair may increase intra-abdominal pressure and the need for mechanical respiratory support.…”

Section: Discussionmentioning

confidence: 99%

“…Stomach, small and large bowel, liver, spleen and bladder may protrude through the defect (1). Gastroschisis occurs in 3:10,000 live births and has a very severe prognosis (2). Gastroschisis can be either complex abnormality having other gastrointestinal anomalies such as intestinal atresia, perforation, necrosis, volvulus or simple abnormality having no other anomalies (1,2).…”

Section: Introductionmentioning

confidence: 99%

Gastroschisis Treatment: Evaluation of Surgical Techniques and Results

İnce¹,

Ezer²,

Temız³

et al. 2020

Bezmialem Science

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Amaç: Son zamanlarda, gastroşizisli hastalar için iyi bir kozmetik sonuç elde etmek, visseral organları karın boşluğuna güvenle yerleştirmek kadar popülerlik kazanmaktadır. Çalışmanın amacı, kozmetik sonuçlara odaklanarak hastaların sonuçlarını değerlendirmek ve literatürde kozmetik sonuçlara odaklanan sınırlı sayıdaki verilere katkıda bulunmaktır. Yöntemler: Ocak 2005'ten Mayıs 2018'e kadar gastroşizis nedeniyle opere edilen tüm hastaların tıbbi kayıtları geriye dönük olarak değerlendirildi. Bulgular: Gastroşizisi olan 22 hasta tedavi edildi (10 kız/12 erkek). Ortalama gebelik yaşı 38,2±2,1 hafta idi. Ortalama doğum ağırlığı 2256,9±418,2 g idi. Onbir hastaya doğum öncesi tanı kondu. Beş hastada komplike gastroşizis vardı; nekroz (n=3), perforasyon (n=4), volvulus (n=1) ve jejunal atrezi (n=1). Primer kapama (n=16) veya aşamalı kapama (n=6) yapıldı. Mekanik ventilasyon süresi ve total parenteral beslenme sırasıyla 3,7±1 gün ve 24,3±9,7 gündü. Enteral beslenmeye 15,9±10,5 günde başlandı. Hastanede kalış süresi 36,7±13,3gündü. Üç hasta sepsis ve multiorgan yetmezliği nedeniyle öldü. Sonuç: Hastaların doğduğu hastanede opere olmasının ve uygun cerrahi prosedür seçilmesinin başarı şansının ana faktörleri olduğunu düşünüyoruz. Bu çalışma da hastaların %86,3'ünde iyi kozmetik sonuçlar ve visseral fonksiyonlar elde edildi. Anahtar Sözcükler: Abdominal duvar defekti, gastroşizis, yenidoğan cerrahisi Objective: Recently, getting good cosmetic results for patients with gastroschisis gains popularity, as putting visceral organs safely into the abdominal cavity as. We aimed to evaluate the outcomes of the patients focusing on the cosmetic results to contribute to a limited number of data on this subject in the literature. Methods: From January 2005 to May 2018, patients operated for gastroschisis in a single institution were evaluated retrospectively. Results: Twenty-two patients with gastroschisis were treated (10girls/12boys). Mean gestational age was 38.2±2.1 weeks. Mean birth weight was 2256.9±418.2 g. Eleven patients were diagnosed by prenatally. Five patients had complex gastroschisis; necrosis (n=3), perforated (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±10.5days. The duration of hospitalization was 36.7±13.3 days. Three patients were died from sepsis and multi-organ failure. Conclusion: We consider that appropriate surgery of gastroschisis at the same hospital without transferring another center is the main factor in the success. Good cosmetic results and visceral functions were able to achieve in this study in 86.3% patients.

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Single-center 10-year experience in the management of anterior abdominal wall defects

Abstract: In our single-center experience, both synthetic (Goretex patches) and natural biomaterials (dura and bovine patches) were found to be alternatives to manage these defects. The advantages and disadvantages of the alternatives are presented.

Cited by 11 publications

References 20 publications

Challenges and outcomes of management of anterior abdominal wall defects in a Nigerian tertiary hospital

Challenges and outcomes of management of anterior abdominal wall defects in a Nigerian tertiary hospital

A successful early gore‐tex reconstruction of an abdominal wall defect in a neonate with Cantrell pentalogy: a case report and literature review

Gastroschisis Treatment: Evaluation of Surgical Techniques and Results

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