Closure Methods in Gastroschisis

Petrosyan M, Sandler AD. Closure methods in gastroschisis. Semin Pediatr Surg. 2018 Oct;27(5):304-308. doi: 10.1053/j.sempedsurg.2018.08.009. Epub 2018 Aug 28. Review. PubMed PMID: 30413261.

The expected outcome of gastroschisis has evolved from an almost certain death of the child prior to the use of parenteral nutrition to almost certain survival. The primary goal of the surgical intervention is return of eviscerated contents into the abdominal cavity. The optimal surgical technique is dependent on the status of the intestine and the accommodation of abdominal domain. In this review, the various surgical techniques for management are discussed as they have evolved. Ironically, a minimalist surgical intervention originally practiced due to the poor expected outcome is now being adopted as a minimalist surgical approach for abdominal wall closure associated with an expected excellent outcome.

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