Sutureless vs sutured abdominal wall closure for gastroschisis: Operative characteristics and early outcomes from the Midwest Pediatric Surgery Consortium
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Read the article on pubmed.ncbi.nlm.nih.gov ↗Article · Feb 2020 · 1 min read
In brief
In brief
Multi-institutional retrospective study comparing sutureless versus sutured abdominal wall closure in 315 neonates with uncomplicated gastroschisis. Sutureless closure was associated with reduced anesthesia exposure, ventilator time, antibiotic use, and fewer infections, with benefits observed in both primary closure and post-silo reduction groups.
Written by the GCMD Library team from the article.
Statements in this article
Among 315 neonates with uncomplicated gastroschisis, sutured closure was performed in 248 (79%) and sutureless closure in 67 (21%).
Of sutured closures, 212 underwent sutured closure after silo and 36 underwent primary sutured closure.
Of sutureless closures, 37 underwent primary sutureless closure and 30 underwent sutureless closure after silo placement.
There was no significant difference between sutured and sutureless closure groups in gestational age, gender, birth weight, total days on TPN, time from closure to initial oral intake, or time to goal feeds.
Sutureless closure patients had fewer general anesthetics compared to sutured closure patients.
Sutureless closure patients had less ventilator use and shorter ventilator time compared to sutured closure patients.
Sutureless closure patients had shorter time from birth to final closure compared to sutured closure patients.
Sutureless closure patients had less antibiotic use after closure compared to sutured closure patients.
Sutureless closure patients had fewer surgical site and deep space infections compared to sutured closure patients.
Primary sutureless closure had less ventilator use and fewer anesthetics than primary sutured closure.
Sutureless closure after silo led to less ventilator use, shorter ventilator time, fewer anesthetics, and less antibiotic use compared to sutured closure after silo.