Surgical Treatment Results In Gastroschisis Based On Preterm Delivery Within The 34th Week Of Gestation By Caesarean Section

• Authors: Hardy Krause , Hans-Jürgen Hass , Ralf Böttger , Claudia Gerloff , Anke Rissmann , Frank Meyer
• Languages of publication: EN

Abstracts

EN

The aim of the study was to assess the value of the today’s appropriate approach, preterm delivery in the 34th week of gestation by Caesarean section and subsequent surgical intervention at the perinatal center, in daily practice of pediatric surgery with regard to early postoperative and mid-term outcome.Material and methods. Over the time period of 9 years, all consecutive cases diagnosed with gastroschisis at the perinatal center, University Hospital of Magdeburg, were born by Caesarean section within the 34th week of gestation followed by surgical intervention. The registered data were compared with those published by other groups.Results. Overall, there were 19 cases through the investigation period from 01/01/2006 to 12/31/2014. The mean duration of gestation was 237.9 days. The mean birth weight was 2,276 g. In all individuals, a primary closure with no artificial material was achieved. The duration of postoperative artificial respiration was 2.3 days. Oral uptake could be initiated on the 10th postoperative day on average. The mean hospital stay was 37 days. There was no lethality. As complications, postoperative (iv catheterassociated) sepsis occurred in one case and relaparotomy became necessary in a further case because of no possible completion of enteral nutrition by 20 days after primary closure (complication and relaparotomy rate, 10.5% and 5.26%, respectively).Conclusions. The data indicate that in case of gastroschisis, primary closure can be more frequently achieved by section within the 34th week of gestation. Under the prediction of an optimal neonatological care, the risks of a preterm delivery by a planned section appear to be manageable.

Keywords

EN

prevalence data; gastroschisis; preterm delivery; caesarean section

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 87
• Issue: 7
• Pages: 346-356

Dates

published

1 - 7 - 2015

received

7 - 7 - 2015

online

7 - 9 - 2015

Contributors

author

Hardy Krause

• Division of Pediatric Surgery, Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany

author

Hans-Jürgen Hass

• Division of Pediatric Surgery, Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany

author

Ralf Böttger

• Division of Neonatology, Department of Pediatrics, University Hospital in Magdeburg, Germany

author

Claudia Gerloff

• Division of Prenatal Diagnostics, Department of Gynecology and Obstetrics University Hospital in Magdeburg, Germany

author

Anke Rissmann

• Malformation Monitoring Centre Saxony-Anhalt Medical Faculty, Otto-von-Guericke, University, Magdeburg, University Hospital in Magdeburg, Germany

author

Frank Meyer

• Department of General, Abdominal and Vascular Surgery;University Hospital in Magdeburg, Germany

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Identifiers

DOI

10.1515/pjs-2015-0068