Logo Medical Science Monitor

Call: +1.631.470.9640
Mon - Fri 10:00 am - 02:00 pm EST

Contact Us

Logo Medical Science Monitor Logo Medical Science Monitor Logo Medical Science Monitor

01 October 2003

Congenital gastroschisis – results of treatment in the ICU

Wojciech Walas, Marek Ziębiński, Małgorzata Puziewicz-Krzemienowska, Ryszard Noparlik

Med Sci Monit 2003; 9(5): 17-19 :: ID: 428677

Abstract

Background: The authors present a retrospective review of 11 cases of gastroschisis in neonates treated in the Paediatric Intensive Care Unit (PICU)in Opole in the years 1997 –2003.Material/Methods: All babies were operated on the 1 st day of life,in 3 of them abdominal wall was closed in a one-step operation, in 8 patients the viscera were placed in a plastic pouch sewed into the abdominal wall which was hung on a traction. Results: Median time before coplete surgical closure of the abdominal wall was 13 days,mechanical ventilation was required for median 18,opioids for 16 days,parenteral nutrition for 26 days,and antibiotic therapy for 27 days.No muscle relaxants were applied after the operation The median total time of treatment in the ICU was 29 days.Feeding through a gastric tube was introduced averagely on the 21st day.In 3 patients (28%) there were surgical complications,in 4 (36%) septicaemia developped. One patient with an inborn sepsis died on first day of life. Conclusions: Treatment of congenital gastroschisis with a plastic pouch has satisfying results,complications appear frequently but do not foredoom a bad prognosis.No muscle relaxation is needed in the postoperative period.In spite of relatively long period of mechanical ventilation the median total stay in ICU was only moderately long.

Keywords: newborn infant, Gastroschisis, neonatal postoperative care

Add Comment 0 Comments

Editorial

01 February 2025 : Editorial  

Editorial: Current Approaches to Screening for Lung Cancer in Smokers and Non-Smokers

Dinah V. Parums

DOI: 10.12659/MSM.948255

Med Sci Monit 2025; 31:e948255

0:00

In Press

Clinical Research  

Predicting Cerebral Small Vessel Disease Burden Based on Thromboelastography in Patients with Acute Ischemi...

Med Sci Monit In Press; DOI: 10.12659/MSM.946303  

Clinical Research  

Long-Term Outcomes of Implanon in Managing Adenomyosis: A 3-Year Prospective Study

Med Sci Monit In Press; DOI: 10.12659/MSM.945972  

Laboratory Research  

Linear Dimensional Accuracy in Maxillomandibular Records: A Comparative Study of Scannable and Transparent ...

Med Sci Monit In Press; DOI: 10.12659/MSM.947265  

Clinical Research  

Efficacy of King's Combined Uterine Suture in Managing Placenta Accreta: A Retrospective Analysis

Med Sci Monit In Press; DOI: 10.12659/MSM.945826  

Most Viewed Current Articles

17 Jan 2024 : Review article   6,969,932

Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron Variant

DOI :10.12659/MSM.942799

Med Sci Monit 2024; 30:e942799

0:00

16 May 2023 : Clinical Research   701,896

Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...

DOI :10.12659/MSM.940387

Med Sci Monit 2023; 29:e940387

0:00

01 Mar 2024 : Editorial   25,741

Editorial: First Regulatory Approvals for CRISPR-Cas9 Therapeutic Gene Editing for Sickle Cell Disease and ...

DOI :10.12659/MSM.944204

Med Sci Monit 2024; 30:e944204

0:00

28 Jan 2024 : Review article   20,253

A Review of IgA Vasculitis (Henoch-Schönlein Purpura) Past, Present, and Future

DOI :10.12659/MSM.943912

Med Sci Monit 2024; 30:e943912

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750