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Dr. Todd Ponsky

Pediatric Surgery · View profile →

Immediate vs Silo Closure for Gastroschisis

Video Published 2019-12-20 Updated 2026-08-01

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0:00
Hey all you pediatric surgeons out there
Hey all you pediatric surgeons out there, here's your daily update on what's new and important in pediatric surgery. Fin…
0:18
They looked at mortality
They looked at mortality, sepsis, readmission rate, and time to full feeds, no difference. So there you have it, dealer'…

Topic Overview

Multicenter study by Hawkins et al. (JPS, August) found no significant difference between silo and immediate closure for gastroschisis across mortality, sepsis, readmission, and time to full feeds. Clinical decision can be based on surgeon preference and patient factors.

Key Takeaways

  • Large multi-center study found no difference between silo and immediate closure for gastroschisis across key outcomes.
  • Mortality, sepsis, readmission rates, and time to full feeds were equivalent between both closure methods.
  • Surgical approach for gastroschisis closure can be based on surgeon preference and clinical context—no superior method identified.

Keywords

Gastroschisis immediate closure silo closure pediatric surgery Hawkins JPS mortality sepsis readmission time to full feeds Neonatal Surgery Abdominal Wall Defect Multicenter Study

Hashtags

#gastroschisis #pediatric surgery #pediatric surgeon #silo closure #immediate closure #JPS #Hawkins study #NeonatalSurgery #PediatricSurgery #AbdominalWallDefect

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