title: Cosmetic Outcomes of Sutureless Closure in Gastroschisis.
abstract: PurposeA sutureless gastroschisis repair allows for spontaneous closure of abdominal wall defect. We report our experience focusing on final esthetic outcome.MethodsRetrospective data were collected from medical reports of all neonates with gastroschisis operated from January 2009 to December 2013. Variables recorded included patients descriptors, management modality, and cosmetic outcome.ResultsFrom the overall group of 38 patients with gastroschisis, 20 infants treated with sutureless closure were included in this study. In the analyzed cohort, 17 (85%) children were operated under general anesthesia and 3 (15%) without intubation. Primary reduction was possible in 15 (75%) cases, and in 5 (25%) we used silo. There were two (10%) deaths in late postoperative course due to septic complications. Three (15%) infants needed laparotomy because of adhesions and bowel obstruction. There were no infectious complications of the wound. Only 55% (10/18) of children presented umbilical hernia prior to discharge. Only two (11%) children with umbilical hernia were operated until now. Almost all patients (16/18; 89%) present excellent final cosmetic result without scar formation.ConclusionSutureless closure of uncomplicated gastroschisis is a safe technique that reduces need of intubation and provides excellent cosmetic results.
authors.affiliation: Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Zajac
authors.affiliation: Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Bartosz
authors.initials: B
authors.lastname: Bogusz
authors.affiliation: Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Soltysiak
authors.affiliation: Department of Clinical Biochemistry, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Przemyslaw
authors.initials: P
authors.lastname: Tomasik
authors.affiliation: Department of Pediatric Urology, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Michal
authors.initials: M
authors.lastname: Wolnicki
authors.affiliation: Department of Pediatrics, Gastroenterology and Nutrition, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Andrzej
authors.initials: A
authors.lastname: Wedrychowicz
authors.affiliation: Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Piotr
authors.initials: P
authors.lastname: Wojciechowski
authors.affiliation: Department of Pediatric Surgery, Collegium Medicum, Jagiellonian University, Krakow, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Gorecki
mesh_terms: D004954:Esthetics; D005260:Female; D020139:Gastroschisis / Q000150:complications / Q000601:surgery*; D006554:Hernia, Umbilical / Q000209:etiology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011183:Postoperative Complications; D057234:Preoperative Period; D012189:Retrospective Studies; D000071062:Sutureless Surgical Procedures / Q000379:methods*; D016896:Treatment Outcome; D014945:Wound Healing