Playing from dr-todd-ponsky
13 views 0 likes

Dr. Todd Ponsky

Pediatric Surgery · View profile →

Immediate vs Silo Closure for Gastroschisis

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

Timestops (2)

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

Multi-center study by Hawkins et al. found no significant difference between silo and immediate closure techniques for gastroschisis repair. Outcomes including mortality, sepsis, readmission rates, and time to full feeds were equivalent between approaches, supporting surgeon preference in technique selection.

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 techniques
  • Surgeon preference can guide closure method selection given equivalent clinical outcomes in this population
  • Hawkins et al. GPS August study provides Level 1 evidence supporting either approach for gastroschisis management

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

Transcript

Comments

Loading comments…