title: [Preliminary results of a multidisciplinary approach to gastroschisis].
abstract: BACKGROUND
  In gastroschisis, premature birth may avoid the development of intestinal peel and favour the primary closure. We present the preliminary results obtained after following a multidisciplinary approach to gastroschisis. After prenatal ultrasound diagnosis, preterm caesarean delivery at 34-35 weeks of gestation is programmed.
  
  
  METHODS
  Prospective design of a study, where we included all prenatal diagnosed gastrosquisis neonates, from July 2007 to January 2012.
  
  
  RESULTS
  We followed 9 infants (3 male). Average weight at birth: 1,927 gr. (+/- 370). Primary closure was successfully accomplished in the first 3 hours of life all cases. We found two cases of slight peel. We found no associated intestinal malformations, except for one small bowel stenosis. No significant neonatal distress respiratory syndrome developed. Mean parenteral nutrition time was 13.9 days (+/- 3.8). 4 neonates developed central line associated infection. No surgical site infection developed. Enteral nutrition was started at day 8th (+/- 2.8). Enteral requirements were fulfilled at day 15th (+/- 3.6). Mean hospital stay was 31 days (+/- 10). Mean follow-up was 30 months. 4 cases developed a small (< 5 mm) umbilical hernia
  
  
  CONCLUSIONS
  Programming premature cesarean section delivery at 34 weeks of gestation was beneficial to the neonates with gastroschisis, yet it avoided peel development, and rendered primary closure without serious difficulties possible. This diminishes hypoperistalsis time and allows rapid instauration of enteral feeding, so hospital stays may be shorter.
authors.affiliation: Servicio de Cirugia Pediátrica, Hospital Universitario Virgen de la Arrixaca, Murcia. mfndezibieta@hotmail.com
authors.forename: M
authors.initials: M
authors.lastname: Fernández Ibieta
authors.forename: M J
authors.initials: MJ
authors.lastname: Aranda García
authors.forename: C
authors.initials: C
authors.lastname: Cabrejos Perotti
authors.forename: P
authors.initials: P
authors.lastname: Reyes Ríos
authors.forename: I
authors.initials: I
authors.lastname: Martínez Castaño
authors.forename: J M
authors.initials: JM
authors.lastname: Sánchez Morote
authors.forename: M
authors.initials: M
authors.lastname: Sánchez Saúco
authors.forename: A
authors.initials: A
authors.lastname: Trujillo Ascanio
authors.forename: J L
authors.initials: JL
authors.lastname: Roqués Serradilla
authors.forename: J I
authors.initials: JI
authors.lastname: Ruiz Jiménez
mesh_terms: D005260:Female; D020139:Gastroschisis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010348:Patient Care Team; D011446:Prospective Studies