The gastroschisis prognostic score: reliable outcome prediction in gastroschisis

Surgical site infections in infants admitted to the neonatal intensive care unit

“…The finding of a reverse trend in SSI rate between infants with primary versus secondary closure, compared to the CAPSNet report is likely due to the small number of infants with gastroschisis in our study. Cowan et al developed a Gastroschisis Prognostic Score to predict mortality and morbidities in infants with this condition; whether this score accurately predicts a high rate of SSI from gastroschisis repair requires further study [25]. Our observations also provides a basis for a re-classification of this type of wound (with corresponding clinical measures) based on a higher level of contamination [22].…”

Abdominal wall defects: Prenatal diagnosis, newborn management, and long-term outcomes

“…The average gestational age at birth is 36 þ 2-3/ 7 weeks. 44,60,[61][62][63] However, about half of the pregnancies continue beyond 37-38 weeks. The best route and time of delivery, in these cases, is not known as contradictory reports have been published.…”

“…The score allows the reliable identification of groups at highrisk for mortality and morbidity and, as a consequence, to plan the best counseling and therapies. 61 Quick protection of extruded bowel is mandatory at birth by means of sterile wet sponges and aluminum foil, cling-film, or plastic bag, together with the right flank decubitus in order to limit a possible vascular damage. The definitive covering, either primary or staged, should be undertaken within the next 4-7 h. 73,74 Besides coverage or reduction of the intestine, a central line needs to be inserted at the time of first repair or within a few days.…”

Predicting Perinatal Outcome from Prenatal Ultrasound Characteristics in Pregnancies Complicated by Gastroschisis

“…Simple GS refers to infants who have an isolated abdominal wall defect with intestines protruding, whereas complex GS refers to those with coexisting necrosis, atresia, perforation or volvulus. Newborns in the latter group have significantly worse outcomes in terms of postoperative complications, duration of hospitalization and mortality rate [10,11,12]. …”