2007, Number 3
Aguinaga-Ríos M, Hernández-Trejo M
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ABSTRACTObjectives: This study was made to report the surgical experience of a group of neonates born with gastroschisis, evaluating the associated factors of early and late complications.
Patients and methods: Analysis was made of all cases with gastroschisis bornin a five years period (1998-2002) in a tertiary medical institution. Differences between groups were carried out using χ2 and Student’s t-test and the Relative Risk was estimated as Odds Ratio with 95% CI, regression models were made too.
Results: In that period of time, 41 patients were born with gastroschisis; surgical closure was performed within the first 24 hours in 27 (66%) cases who commenced enteral feeding more quickly, and spent less time with ventilatory assistance and in hospital than neonates with whom surgical closure was performed after the first day of life. Between these groups there were no differences of late complications.
Conclusions: The best clinical outcomes are related to the feasibility of early surgical closure.