Comparison of the evolution of patients with gastroschisis treated with the Simil exit technique vs. primary closure A single-center observational study.
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Abstract
Introduction: The surgical treatment of gastroschisis involves closing the abdominal wall after the intra-abdominal organs are reduced. The Simil-exit (SE) method is used to reduce morbidity and mortality. The objective of the present study was to compare the outcomes of patients with gastroschisis who underwent surgery via the SE technique versus those treated with primary closure (PC).
Methods: The present observational study analyzed the records of patients with gastroschisis at the "Dr. Roberto Gilbert Elizalde" Hospital from 2019 to 2022. The SE and CP techniques are compared. The variables included closure success, the start of enteral feeding, the length of hospital stay, and mortality.
Results: A total of 9 patients with ES and 26 patients with PC were included. There were no differences between the start time of enteral feeding (P = 0.13) and the hospitalization time (P = 0.43). Four patients died in the CP technique group (15.4%; P = 0.5), which was significantly related to reoperation (P = 0.002) and complex gastroschisis (P <0.001).
Conclusions: Closure via the SE technique has noninferiority equivalence concerning that via the CP technique.
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References
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