Closure methods in gastroschisis
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In brief
In brief
This review traces the evolution of gastroschisis surgical management from high mortality to near-certain survival, examining closure techniques based on intestinal status and abdominal capacity. Notably, minimalist approaches once used due to poor prognosis are now preferred for optimal outcomes.
Written by the GCMD Library team from the article.
Publication date: October 2018
Source: Seminars in Pediatric Surgery, Volume 27, Issue 5
Author(s): Mikael Petrosyan, Anthony D. Sandler
Abstract
The expected outcome of gastroschisis has evolved from an almost certain death of the child prior to the use of parenteral nutrition to almost certain survival. The primary goal of the surgical intervention is return of eviscerated contents into the abdominal cavity. The optimal surgical technique is dependent on the status of the intestine and the accommodation of abdominal domain. In this review, the various surgical techniques for management are discussed as they have evolved. Ironically, a minimalist surgical intervention originally practiced due to the poor expected outcome is now being adopted as a minimalist surgical approach for abdominal wall closure associated with an expected excellent outcome.