A novel approach in the treatment of neonatal gastroschisis: a review of the literature and a single-center experience
| Autor: | Roberto Piergentili, Simona Zaami, E Buffone, Fabrizio Signore, Caterina Gulia, Daniela Luvero, Cristina Vallone, Roberto Angioli, Claudio Giorlandino, Vito Briganti |
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| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Male
abdominal wall defects Parenteral Nutrition medicine.medical_specialty Time Factors Gestational Age Gastroschisis defect Single Center neonatal surgery Ultrasonography Prenatal 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics medicine Humans 030212 general & internal medicine Retrospective Studies Gastroschisis business.industry Delivery Rooms Abdominal wall defect Infant Newborn Obstetrics and Gynecology Length of Stay medicine.disease Surgery Neonatal surgery Survival Rate Treatment Outcome Surgical reduction surgical reduction Pediatrics Perinatology and Child Health Female business |
| Popis: | Gastroschisis is a congenital abdominal wall defect and its management remains an issue. We performed a review of the literature to summarize its evaluation, management and outcome and we describe a new type of surgical reduction performed in our center without anesthesia (GA), immediately after birth, in the delivery room. Between January 2002 and March 2013, we enrolled all live born infants with gastroschisis referred to the third-level Division of Obstetrics and Gynecology "San Camillo" of Rome. Two groups of infants were identified: group 1 in which gastroschis reduction was performed by the traditional technique and group 2 in which reduction was immediately performed after birth in the delivery room without GA. Twelve infants were enrolled in group 1, and seven infants in group 2. Statistical significance was observed between the groups regarding the hospital stay, for the duration of parenteral nutrition and full oral feeds (p = .004). Survival was similar between two groups. The reduction without GA performed immediately after birth in a delivery room encourages the relationship between the mother and her child and appears to be a safe and feasible technique in a selected group of patients with simple gastroschisis defect; for this reason, it could represent a valid alternative to traditional approach. |
| Databáze: | OpenAIRE |
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