Maza-Vallejos J, Aguirre-Francisco G, Vargas-Gómez M, Aguirre-Francisco G

Language: Spanish
References: 10
Page: 21-24
PDF size: 153.05 Kb.

ABSTRACT

Introduction: The incomplete closure of the anterior abdominal wall affects the formation of defects such as gastroschisis. Today most surgeons use silastic sheets for the closure of large omphalocele and gastroschisis, creating an extra-abdominal reservoir. Prenatal diagnosis allows for prompt and orderly preparation for primary closure and umbilicoplastia. En our institution traditionally gastrosqusis patients were placed silastic mesh and recently has begun closing umbilicoplastia. El primary and fundamental purpose of this paper is to to the experience in our institution umbilicoplasty primary closure.
Material and Methods: In a prospective study in March 2002 to April 2003, treated 16 patients with gastosquisis, all patients underwent decompression from the digestive tract by orogastric tube, enemas or irrigations with 12 Fr Levin tube before surgery, guided by hand through the handles exposed.
Results: Of 16 patients treated at 13 study employed primary closure. There were four deaths, attributed the cause of death after the autopsy, sepsis in two cases, intraventricular hemorrhage in one and one at chylopericardium.
Discussion and Conclusions: Decompression of the digestive tract favoring primary closure in 81.25%, in the cases not achieving primary closure was due to the saturation effect on venous return and cardiac status was improved secondary to exposure toxoinfeccioso handles, power beginning in the short term with good tolerance, improve the appearance umbilicoplasty in all patients.

REFERENCES

1. Keith W. Aschraft, Md. Pediatric Surgery. Tirad Edition. Kansas City, Missouri. W.B Saunders Company. 2000 Pg 639.

2. By Steven L. Lee, Jeffrey J. Dubois, Stephen K. Greenholz, And Sally G. Huffman. Advancement Flap Umbilicoplsty After Abdominal Wall Closure: Postoperative Results Compared With Normal Umbilical Anatomy. J. Of Pedtr. Surg. 2001; 36: 1168- 1170.

3. By Mark Davenport, S. Haugen, A. Greenough, And K. Nicolaides. Closed Gastroschisis: Antenatal And Postnatal Feactures. J. Of Pediatr. Surg. 2001:36; 1834-1837.

4. By Arman Api, Mustafa Ollguner, Gülce Hakgüder, Oguz Ates, Et. Al. Intestinal Damage In Gastroschisis Correlates With The Concentration Of Intraamniotico Meconium. J. Of Pediatr. Surg. 2001:36; 1811-1815.

5. By R.M. Kimble, S.J. Singh, C. Bourke, And D.T. Cass. Gastroschisis Reduction Under Analgesia In The Neonatal Unit. J. Of Pediatr. Surg. 2001:36; 1672-1674.

6. By Eric S. Borgstein. Gastroschisis Minor. J. Of Peditr. Surg. 2001:36:1540-1541.

7. By C.L. Snyder, K.A. Miller, R.J.Sharp, J.P. Murphy, W.A. Andrews, Et. Al. Management Of Intestinal Atresia In Patients With Gastroschisis. J. Of Pediatr. Surg. 2001:36; 1542-1545.

8. By K.A. Molik, C.A. Gingalewski, K.W. West, F.J. Rescorla, L.R. Scherer Iii, S.A. Engum, And J.L. Grosfeld. Gastroschisis: A Plea For Risk Categorization. J. Of Pediatr. Surg. 2001:36: 51-55.

9. By Jorge Correia- Pinto, Martha L. Tavares, Maria J. Baptista, J. Tiago Henriques-Coelho, Jose Estevaó-Costa, Et. Al. Meconium Dependence Of Bowel Damage In Gastroschisis. J. Of Pediatr. Surg. 2002: 37; 31-35.

10. Ein S. H., Rubin S.Z.: Gastroschisis.: Primary Clossure Of Silon Pouch. J. Of Pedtr. Surg. 1980: 4; 549-551.