GASTROSQUISIS: Experience in the surgical handling. Pediatric Surgery Service. University Hospital “Dr. Alfredo Van Griken”. Period January 2009 – October 2018

Abstract

The objective is to compare the efficacy of Simil exit, primary closure and delayed closure used for the surgical management of neonates with Gastroschisis. Pediatric surgery service. Alfredo Van Grieken Hospital. Period January 2009-October 2018. Methodology: Retrospective, descriptive, observational study of cases, field, non-experimental. Non-probabilistic sample subject to inclusion criteria and research period, consisting of (41) neonates with gastroschisis. Results: (24.4%) patients were used Simil exit, (34.1%) Primary closure and (34.1%) Deferred closure. Average of beginning of oral route of simil exit was 3,70 days, primary closing 6,14 days, delayed closing did not initiate by death. Hospitalization time simil exit 10.70 days, primary closure 15.71 days, deferred closure 3.57 days. Complications 92.7%, more common sepsis 46.3%. No Reintervention 87.8%. Mortality 61%, survival 39%, lower mortality simil exit 10%. Conclusions: Statistically there are differences between the three (03) surgical techniques used (Simil-exit, primary closure and delayed closure) in terms of complications and Mortality, resulting in a more effective treatment with the Simil - Exit surgical technique, since with this procedure , used in neonates with gastroschisis, initiates the oral route in less time, allows shorter hospitalization time, fewer complications and lower mortality.