Keywords
Sutureless surgical
procedures
Case reports.
Infant
Newborn
How to Cite
Abstract
Introduction: Gastroschisis is one of the most frequent congenital malformations. In underdeveloped countries, its mortality is higher
than 15%, being sepsis the first cause. Its management consists on the closure of the abdominal wall by different methods, depending on
its level of complexity and the type of intervention. Objective: Describe the initial experience of the sutureless closure of the gastroschisis,
at a unit of neonatology in Puebla, Mexico. Materials and methods: A descriptive, transversal and retrospective study was performed
to evaluate 9 medical charts of newborns with sutureless closure of gastroschisis, at the “Hospital General del Sur de Puebla” Results:
The patients were studied from December 2018 to August 2019, of which 56% were males. They were divided into 3 groups. With close
immediately after the c-section (67%), immediate delay (11%) and delay using the Alexis retractor (22%). The mean time of length hospital stay
of the patients was 25.67 + 1.56 days. The only one with a complication was the patient from group 2 that developed sepsis. Conclusions:
The closure without suture in our patients turned out to be a reliable procedure with a good prognosis to their evolution, due to favorable
results in the length of hospital stay and the timing of enteral feeding. MÉD.UIS.2020;33(3): 43-7.
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