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Eur J Pediatr Surg 2016; 26(06): 537-541
DOI: 10.1055/s-0035-1570759
Original Article
Georg Thieme Verlag KG Stuttgart · New York

Cosmetic Outcomes of Sutureless Closure in Gastroschisis

Andrzej Zajac
1   Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Bartosz Bogusz
1   Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Piotr Soltysiak
1   Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Przemyslaw Tomasik
2   Department of Clinical Biochemistry, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Michal Wolnicki
3   Department of Pediatric Urology, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Andrzej Wedrychowicz
4   Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Piotr Wojciechowski
1   Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland
,
Wojciech Gorecki
1   Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland
› Author Affiliations
Further Information

Publication History

23 September 2015

29 November 2015

Publication Date:
08 January 2016 (online)

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Abstract

Purpose A sutureless gastroschisis repair allows for spontaneous closure of abdominal wall defect. We report our experience focusing on final esthetic outcome.

Methods Retrospective data were collected from medical reports of all neonates with gastroschisis operated from January 2009 to December 2013. Variables recorded included patients descriptors, management modality, and cosmetic outcome.

Results From the overall group of 38 patients with gastroschisis, 20 infants treated with sutureless closure were included in this study. In the analyzed cohort, 17 (85%) children were operated under general anesthesia and 3 (15%) without intubation. Primary reduction was possible in 15 (75%) cases, and in 5 (25%) we used silo. There were two (10%) deaths in late postoperative course due to septic complications. Three (15%) infants needed laparotomy because of adhesions and bowel obstruction. There were no infectious complications of the wound. Only 55% (10/18) of children presented umbilical hernia prior to discharge. Only two (11%) children with umbilical hernia were operated until now. Almost all patients (16/18; 89%) present excellent final cosmetic result without scar formation.

Conclusion Sutureless closure of uncomplicated gastroschisis is a safe technique that reduces need of intubation and provides excellent cosmetic results.

Keywords

gastroschisis - abdominal defect - sutureless closure - cosmetic results
 

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