Resumen

GALDON PALACIOS, Ivet Carolina; ROJAS FORTIQUE, Estefanía  y  HERNANDEZ RIVERO, Alejandro José. Simil exit versus cierre primario de la pared abdominal en recién nacidos con gastrosquisis. Arch Venez Puer Ped [online]. 2014, vol.77, n.2, pp.65-70. ISSN 0004-0649.

Gastroschisis is a congenital anomaly distinguished by herniated mid-gut through a lateral umbilicus defect. The herniated organs remain in contact with the amniotic fluid during the intrauterine life suffering a chronic inflammatory reaction. Objective: To compare the surgical procedures of Simil-Exit management versus the primary closure of the abdominal walls in newborn with gastroschisis. Methods: Nine newborn with gastroschisis were studied, they were divided into 2 groups; group A included 4 patients which were managed with the Simil-Exit procedure and group B comprised of 5 patients in whom primary closure of the abdominal walls was performed. Results: There was no significant difference according to the hospitalization stay, beginning of enteral feeding nor complications. According to the survival of the patients we could observe a significant difference between the procedures, in the Simil-Exit group the survival was 100% versus 40% in group B (p<0.05). Conclusion: The Simil-Exit resolution for gastroschisis favours bowel reduction into the abdominal cavity maintaining the placental support without the need of general anesthesia, decreases the exposure of the bowel and obviates the use of mechanical ventilation.

Palabras clave : Gastroschisis; Simil-Exit; Primary Closure.

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