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Archivos de Investigación Materno Infantil

ISSN 2007-3194 (Print)
Órgano de difusión oficial del Instituto Materno Infantil del Estado de México
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2019, Number 1

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Arch Inv Mat Inf 2019; 10 (1)

Early closure vs silo in gastroschisis neonates at the Hospital of Gynecology and Obstetrics, IMIEM, June 2011 to June 2017: series of case studies

Beltrán GE, Fernández OG, Mendoza DJG
Full text How to cite this article

Language: Spanish
References: 9
Page: 3-6
PDF size: 73.51 Kb.


Key words:

Gastroschisis, neonatal, primary reduction.

ABSTRACT

Objective: To describe the clinical evolution of the patients born with gastroschisis in the period between June 2011 to June 2017. Material and methods: Series of cases, retrospective, descriptive and transversal study trial. We checked files of patients with gastroschisis diagnosis in the period between June 2011 to June 2017. Each case was analyzed by descriptive and analytical statistics by means of SPSS17 and the comparison of data with the Mann-Whitney U test. Results: We found an adjusted prevalence to seven years of 10 of each 44 045 newly born (3.4/10 000). According to the results, where evidently the sample was small, and the data behavior was nonparametric, the Mann-Whitney U test was used to compare the populations. We observed a significant p in the days of intubation and fasting days in favor of newborns in the early primary reduction group; the rest was not significant. Conclusions: Prognosis was better, with fewer days of mechanical ventilation, fewer days of fasting and parenteral nutrition, as well as shorter days of in-hospital stay in patients with early closure.


REFERENCES

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  2. O’Connell RV, Dotters-Katz SK, Kuller JA, Strauss RA. Gastroschisis: a review of management and outcomes, Obstet Gynecol Surv, 2016; 71 (9): 537-544.

  3. Salinas-Torres VM, Salinas-Torres RA, Cerda-Flores RM, Martínez-de-Villarreal LE. Prevalence, mortality, and spatial distribution of gastroschisis in Mexico, J Pediatr Adolesc Gynecol, 2018; 31 (3): 232-237.

  4. Christison-Lagay ER, Kelleher CM, Langer JC. Neonatal abdominal wall defects, Semin Fetal Neonatal Med, 2011; 16 (3): 164-172.

  5. Coran A, Adzick N. Pediatric surgery. 7th ed. Philadelphia: Elsevier Mosby; 2012.

  6. Cuervo JL. Defectos de la pared abdominal, Rev Hosp Niños (B. Aires), 2015; 57 (258): 170-190.

  7. Ledbetter DJ. Congenital abdominal wall defects and reconstruction in pediatric surgery, Surg Clin North Am, 2012; 92 (3): 713-727.

  8. Poola A, Aguayo P, Fraser J, Hendrickson R, Weaver K, Gonzalez K et al. Primary closure versus bedside silo and delayed closure for gastroschisis: a truncated prospective randomized trial, Eur J Pediatr Surg [Internet], 2018 [citado 25 de noviembre de 2018]. Disponible en: http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1627459

  9. Baeza-Herrera C. Gastrosquisis. Su tratamiento en un estudio comparativo, Acta Pediatr Mex, 2011; 32 (5): 266-272.




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Arch Inv Mat Inf. 2019;10