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2015 | 87 | 7 | 346-356
Tytuł artykułu

Surgical Treatment Results In Gastroschisis Based On Preterm Delivery Within The 34thWeek Of Gestation By Caesarean Section

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of the study was to assess the value of the today’s appropriate approach, preterm delivery in the 34th week of gestation by Caesarean section and subsequent surgical intervention at the perinatal center, in daily practice of pediatric surgery with regard to early postoperative and mid-term outcome. Material and methods. Over the time period of 9 years, all consecutive cases diagnosed with gastroschisis at the perinatal center, University Hospital of Magdeburg, were born by Caesarean section within the 34th week of gestation followed by surgical intervention. The registered data were compared with those published by other groups. Results. Overall, there were 19 cases through the investigation period from 01/01/2006 to 12/31/2014. The mean duration of gestation was 237.9 days. The mean birth weight was 2,276 g. In all individuals, a primary closure with no artificial material was achieved. The duration of postoperative artificial respiration was 2.3 days. Oral uptake could be initiated on the 10th postoperative day on average. The mean hospital stay was 37 days. There was no lethality. As complications, postoperative (iv catheterassociated) sepsis occurred in one case and relaparotomy became necessary in a further case because of no possible completion of enteral nutrition by 20 days after primary closure (complication and relaparotomy rate, 10.5% and 5.26%, respectively). Conclusions. The data indicate that in case of gastroschisis, primary closure can be more frequently achieved by section within the 34th week of gestation. Under the prediction of an optimal neonatological care, the risks of a preterm delivery by a planned section appear to be manageable.
Wydawca
Rocznik
Tom
87
Numer
7
Strony
346-356
Opis fizyczny
Daty
wydano
2015-07-01
otrzymano
2015-07-07
online
2015-09-07
Twórcy
autor
  • Division of Pediatric Surgery, Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany , hardy.krause@med.ovgu.de
  • Division of Pediatric Surgery, Department of General, Abdominal and Vascular Surgery, University Hospital in Magdeburg, Germany
  • Division of Neonatology, Department of Pediatrics, University Hospital in Magdeburg, Germany
  • Division of Prenatal Diagnostics, Department of Gynecology and Obstetrics University Hospital in Magdeburg, Germany
  • Malformation Monitoring Centre Saxony-Anhalt Medical Faculty, Otto-von-Guericke, University, Magdeburg, University Hospital in Magdeburg, Germany
autor
  • Department of General, Abdominal and Vascular Surgery;University Hospital in Magdeburg, Germany
Bibliografia
  • 1. Calder J: Two Examples of Children With Preternatural Conformation of the Guts. Medical Essays and Observations, Medical Society of Edinburgh 1733; 1: 203.
  • 2. Chabra S: Gastroschisis: Brief Early History (1). J Perinat Med 2007; 35: 455.
  • 3. Hershenson MB, Brouillette RT, Klemka L: Respiratory Insufficiency in Newborns With Abdominal Wall Defects. J Pediatr Surg 1985; 20: 348-53.
  • 4. Carlton GR, Towne BH, Bryan RW, Chang JH: Obstruction of the Suprahepatic Inferior Vena Cava As a Complication of Giant Omphalocele Repair. J Pediatr Surg 1979; 14: 733-34.
  • 5. Gross RE : A New Method for Surgical Treatment of Large Omphaloceles. Surgery (GBR) 1948; 24: 277-92.
  • 6. Schuster SR : A New Method for the Staged Repair of Large Omphaloceles. Surg, Gynecol Obstet 1967; 125: 837-50.
  • 7. Meyer T, Seifert A, Meyer B et al.: PAUL Procedure. A New Biocompatible Concept for the Therapy of Congenital Abdominal Wall Defects. Chirurg 2010; 81: 236-42.
  • 8. Pastor AC, Phillips JD, Fenton SJ et al.: Routine Use of a SILASTIC Spring-Loaded Silo for Infants With Gastroschisis: a Multicenter Randomized Controlled Trial. J Pediatr Surg 2008; 43: 1807-12.
  • 9. Bianchi A, Dickson AP, Alizai NK : Elective Delayed Midgut Reduction – No Anesthesia for Gastroschisis: Selection and Conversion Criteria. J Pediatr Surg 2002; 37: 1334-36.
  • 10. Jona JZ: The 'Gentle Touch' Technique in the Treatment of Gastroschisis. J Pediatr Surg 2003; 38: 1036-38.
  • 11. Patkowski D, Czernik J, Baglaj SM: Active Enlargement of the Abdominal Cavity – A New Method for Earlier Closure of Giant Omphalocele and Gastroschisis. Eur J Pediatr Surg 2005; 15: 22-25.
  • 12. Werbeck R, Koltai J: Umbilical Cord As Temporary Coverage in Gastroschisis. Eur J Pediatr Surg 2011; 21: 292-95.
  • 13. Gomes Ferreira C, Lacreuse I, Geslin D et al.: Staged Gastroschisis Closure Using Alexis Wound Retractor: First Experiences. Pediatr Surg Int 2014; 30: 305-11.
  • 14. Hoyme HE, Jones MC, Jones KL : Gastroschisis: Abdominal Wall Disruption Secondary to Early Gestational Interruption of the Omphalomesenteric Artery. Semin Perinatol 1983; 7: 294-98.
  • 15. Punia RP, Dhingra N, Chopra R et al.: Left-Sided Gastroschisis With Meromelia of the Limbs: A Rare Association. Congenit Anom (Kyoto) 2009; 49: 33-34.
  • 16. Sadler TW, Feldkamp ML: The Embryology of Body Wall Closure: Relevance to Gastroschisis and Other Ventral Body Wall Defects. Am J Med Genet Part C Semin Med Genet 2008; 148: 180-85.
  • 17. Cardonick E, Broth R, Kaufmann M et al.: Genetic Predispositions for Thromboembolism As a Possible Etiology for Gastroschisis. Am J Obstet Gynecol 2005; 193: 426-28.
  • 18. Tibboel D, Kluck P, Van der Kamp AWM: The Development of the Characteristic Anomalies Found in Gastroschisis – Experimental and Clinical Data. Z Kinderchir 1985; 40: 355-60.
  • 19. Castilla EE, Mastroiacovo P, Orioli IM: Gastroschisis: International Epidemiology and Public Health Perspectives. Am J Med Genet Part C Semin Med Genet 2008; 148: 162-79.
  • 20. Grenz D: Häufigkeit angeborenenr Fehlbildungen mit chirurgischer Therapieoption bei Neugeborenen: Eine retrospektive Studie über den Beobachtungszeitraum 1987 bis 2002 des Fehlbildungsmonitoring Sachsen-Anhalt. 2008. Medizinische Fakultät der Otto-von-Guericke-Universität Magdeburg. Ref Type: Thesis/Dissertation
  • 21. Arnold M: Is the Incidence of Gastroschisis Rising in South Africa in Accordance With International Trends? A Retrospective Analysis at Pretoria Academic and Kalafong Hospitals, 1981-2001. S Afr J Surg 2004; 42: 86-88.
  • 22. Bermejo E, Mendioroz J, Cuevas L, Martinez-Frias ML: The Incidence of Gastroschisis: Is Also Increasing in Spain, Particularly Among Babies of Young Mothers. BMJ 2006; 332: 424.
  • 23. Hougland KT, Hanna AM, Meyers R, Null D: Increasing Prevalence of Gastroschisis in Utah. J Pediatr Surg 2005; 40: 535-40.
  • 24. Donald I, MacVicar J, Brown TG: Investigation of Abdominal Masses by Pulsed Ultrasound. Lancet 1958; 271: 1191-95.
  • 25. Badillo AT, Hedrick HL, Wilson RD et al.: Prenatal Ultrasonographic Gastrointestinal Abnormalities in Fetuses With Gastroschisis Do Not Correlate With Postnatal Outcomes. J Pediatr Surg 2008; 43: 647-53.
  • 26. Cetinkaya M, Koksal N, Ozkan H: A New Scoring System for Evaluation of Multiple Organ Dysfunction Syndrome in Premature Infants. Am J Crit Care 2012; 21: 328-37.
  • 27. da Costa SP, van der Schans CP, Zweens MJ et al.: Development of Sucking Patterns in Pre-Term Infants With Bronchopulmonary Dysplasia. Neonatology 2010; 98: 268-77.
  • 28. Henschen M, Stocks J, Brookes I, Frey, U: New Aspects of Airway Mechanics in Pre-Term Infants. Eur Respir J 2006; 27: 913-20.
  • 29. Nair UR, King H, Walker DR : Surgical Ligation of the Patent Ductus Arteriosus in Low Birth Weight Pre-Term Infants. A Review of 67 Consecutive Cases. J Cardiovasc Surg (Torino) 1985; 26: 577-80.
  • 30. Volpe JJ: Neonatal Intraventricular Hemorrhage. N Engl J Med 1981; 304: 886-91.
  • 31. Gezer A, Parafit-Yalciner E, Guralp O et al.: Neonatal Morbidity Mortality Outcomes in Pre-Term Premature Rupture of Membranes. J Obstet Gynaecol 2013; 33: 38-42.
  • 32. Heussinger N, Eyupoglu IY, Ganslandt O et al.: Ultrasound-Guided Neuronavigation Improves Safety of Ventricular Catheter Insertion in Preterm Infants. Brain Dev 2012.
  • 33. Shin D, Woo HJ, ParkJ: Spontaneous Cerebellar Hemorrhage With the Fourth Ventricular Hemorrhage: Risk Factors Associated With Ventriculoperitoneal Shunt. J Korean Neurosurg Soc 2012; 52: 320-24.
  • 34. Fledelius HC, Kjer B, Rosenberg T: Retinopathy of Prematurity in a Copenhagen High-Risk Sample 1997-98. The Allover Surveillance for ROP Appears More and More Complete. Acta Ophthalmo Scand 2000; 78: 362-65.
  • 35. Campeotto F, Suau A, Kapel N et al.: A Fermented Formula in Pre-Term Infants: Clinical Tolerance, Gut Microbiota, Down-Regulation of Faecal Calprotectin and Up-Regulation of Faecal Secretory IgA. Br J Nutr 2011; 1-10.
  • 36. Collins CT, Makrides M, Gibson RA et al.: Pre-and Post-Term Growth in Pre-Term Infants Supplemented With Higher-Dose DHA: a Randomised Controlled Trial. Br J Nutr 2011; 105: 1635-43.
  • 37. Fanaro S, Ballardini E, Vigi V: Different Pre-Term Formulas for Different Pre-Term Infants. Early Hum Dev 2010; 86 Suppl 1: 27-31.
  • 38. Manzoni P, Decembrino L, Stolfi I et al.: Lactoferrin and Prevention of Late-Onset Sepsis in the Pre-Term Neonates. Early Hum Dev 2010; 86 Suppl 1: 59-61.
  • 39. Lenke RR, Hatch J: Fetal Gastroschisis: A Preliminary Report Advocating the Use of Cesarean Section. Obstet Gynecol 1986; 67: 395-98.
  • 40. Adra AM, Landy HJ, Nahmias J, Gomez-Marin O: The Fetus With Gastroschisis: Impact of Route of Delivery and Prenatal Ultrasonography. Am J Obstet Gynecol 1996; 174: 540-46.
  • 41. White JJ: Gastroschisis: Effect of Mode of Delivery. J Pediatr Surg 2009; 44: 657-58.
  • 42. Hamrick SE G: Cesarean Delivery and Its Impact on the Anomalous Infant. Clin Perinatol 2008; 35: 395-406.
  • 43. Swartz KR, Harrison MW, Campbell JR, Campbell TJ: Selective Management of Gastroschisis. Ann Surg 1986; 203: 214-18.
  • 44. Hagberg S, Hokegard KH, Rubenson A, Sillen U: Prenatally Diagnosed Gastroschisis. A Preliminary Report Advocating the Use of Elective Caesarean Section. Z Kinderchir 1988; 43: 419-21.
  • 45. Swift RI, Singh MP, Ziderman DA et al.: A New Regime in the Management of Gastroschisis. J Pediatr Surg 1992; 27: 61-63.
  • 46. Roy, G, King PA: The Role of Labour in Gastroschisis Bowel Wall Thickening and Prevention by Elective Pre-Term and Pre-Labour Caesarian Section. Pediatr Surg Int 1994; 9: 157.
  • 47. Moore TC : Elective Preterm Section for Improved Primary Repair of Gastroschisis. Pediatr Surg Int 1988; 4: 25-26.
  • 48. Logghe HL, Mason GC, Thornton JG, Stringer MD: A Randomized Controlled Trial of Elective Preterm Delivery of Fetuses With Gastroschisis. J Pediatr Surg 2005; 40: 1726-31.
  • 49. Henrich W, Bamberg C, Dudenhausen JW: Sectio Bei Bekannter Kindlicher Fehlbildung. Gynäkologe 2010; 43: 19-25.
  • 50. Snyder CL, Peter SD : Trends in Mode of Delivery for Gastroschisis Infants. Am J Perinatol 2005; 22: 391-96.
  • 51. Weichert J, Kahl FO, Schroer A et al.: Congenital Gastroschisis – Prenatal Diagnosis and Perinatal Management. Z Geburtshilfe Neonatol 2010; 214: 135-44.
  • 52. Carroll M, Bennett KA, Wilson MS et al.: 511: The Effect of Preterm Delivery on Fetuses With Gastroschisis. Am J Obstet Gynecol 2011; 204: S204.
  • 53. Soares H, Silva A, Rocha G et al.: Gastroschisis: Preterm or Term Delivery? Clinics (Sao Paulo) 2010; 65: 139-42.
  • 54. Reigstad I, Reigstad H, Kiserud T, Berstad T: Preterm Elective Caesarean Section and Early Enteral Feeding in Gastroschisis. Acta Paediatr 2011; 100: 71-74.
  • 55. Snyder CL : Outcome Analysis for Gastroschisis. J Pediatr Surg 1999; 34: 1253-56.
  • 56. Tunell WP, Puffinbarger NK, Tuggle DW et al.: Abdominal Wall Defects in Infants: Survival and Implications for Adult Life. Ann Surg 1995; 221: 525-30.
  • 57. Davis RP, Treadwell MC, Drongowski RA et al.: Risk Stratification in Gastroschisis: Can Prenatal Evaluation or Early Postnatal Factors Predict Outcome? Pediatr Surg Int 2009; 25: 319-25.
  • 58. Haddock G, Davis CF, Raine PA: Gastroschisis in the Decade of Prenatal Diagnosis: 1983-1993. Eur J Pediatr Surg 1996; 6: 18-22.
  • 59. Safav, A, Skarsgard E, Butterworth S: Bowel-Defect Disproportion in Gastroschisis: Does the Need to Extend the Fascial Defect Predict Outcome? Pediatr Surg Int 2012; 28: 495-500.
  • 60. Moir CR, Ramsey PS, Ogburn J et al.: A Prospective Trial of Elective Preterm Delivery for Fetal Gastroschisis. Am J Perinatol 2004; 21: 289-94.
  • 61. Vegunta RK, Wallace LJ, Leonardi MR et al.: Perinatal Management of Gastroschisis: Analysis of a Newly Established Clinical Pathway. J Pediatr Surg 2005; 40: 528-34.
  • 62. Gelas T, Gorduza D, Devonec S et al.: Scheduled Preterm Delivery for Gastroschisis Improves Postoperative Outcome. Pediatr Surg Int 2008; 24: 1023-29.
  • 63. Hadidi A, Subotic U, Goeppl M, Waag KL : Early Elective Cesarean Delivery Before 36 Weeks Vs Late Spontaneous Delivery in Infants With Gastroschisis. J Pediatr Surg 2008; 43: 1342-46.
  • 64. Serra A, Fitze G, Kamin G et al.: Preliminary Report on Elective Preterm Delivery at 34 Weeks and Primary Abdominal Closure for the Management of Gastroschisis. Eur J Pediatr Surg 2008; 18: 32-37.
  • 65. Chotigeat U, Sawasdiworn S: Comparison Outcomes of Sick Babies Born to Teenage Mothers With Those Born to Adult Mothers. J Med Assoc Thai 2011; 94 Suppl 3: S27-S34.
  • 66. Emusu D, Salihu HM, Aliyu ZY et al.: Gastroschisis, Low Maternal Age, and Fetal Morbidity Outcomes. Birth Defects Res. A Clin Mol Teratol 2005; 73: 649-54.
  • 67. Bermejo E, Mendioroz J, Cuevas L, Martinez-Frias ML: The Incidence of Gastroschisis: Is Also Increasing in Spain, Particularly Among Babies of Young Mothers. BMJ 2006; 332: 424.
  • 68. Kazaura M, Lie RT, Skjaerven R: Paternal Age and the Risk of Birth Defects in Norway. Ann Epidemio 2004; 14: 566-70.
  • 69. Loane M, Dolk H, Bradbury I: Increasing Prevalence of Gastroschisis in Europe 1980-2002: a Phenomenon Restricted to Younger Mothers? Paediatr Perinat Epidemio 2007; 21: 363-69.
  • 70. Materna-Kiryluk A, Wisniewska K, Badura-Stronka M et al.: Parental Age As a Risk Factor for Isolated Congenital Malformations in a Polish Population. Paediatr Perinat Epidemio 2009; 23: 29-40.
  • 71. Gill SK, Broussard C, Devine O et al.: Association Between Maternal Age and Birth Defects of Unknown Etiology – United States, 1997-2007. Birth Defects Res. A Clin Mol Teratol 2012.
  • 72. Getz KD, Anderka MT, Werler MM, Case AP: Short Interpregnancy Interval and Gastroschisis Risk in the National Birth Defects Prevention Study. Birth Defects Res. A Clin Mol Teratol 2012; 94: 714-20.
  • 73. Paranjothy S, Broughton H, Evans A et al.: The Role of Maternal Nutrition in the Aetiology of Gastroschisis: an Incident Case-Control Study. Int J Epidemiol 2012; 41: 1141-52.
  • 74. Hackshaw A, Rodeck C, Boniface S: Maternal Smoking in Pregnancy and Birth Defects: a Systematic Review Based on 173 687 Malformed Cases and 11.7 Million Controls. Hum Reprod Update 2011; 17: 589-604.
  • 75. Tam Tam KB, Briery C, Penman AD et al.: Fetal Gastroschisis: Epidemiological Characteristics and Pregnancy Outcomes in Mississippi. Am J Perinatol 2011; 28: 689-94.
  • 76. Hagberg S, Rubenson A, Ekstroem-Jodal B: Improved Prognosis in Patients With Gastroschisis. A Result of Surgical Techniques or Modern Intensive Care? Z Kinderchir 1981; 33: 304-07.
  • 77. Moore TC, Stokes GE: Gastroschisis. Report of Two Cases Treated by a Modification of the Gross Operation for Omphalocele. Surgery (GBR) 1953; 33: 112-20.
  • 78. Moore TC : Gastroschisis with Antenatal Evisceration of Intestines and Urinary Bladder. Ann Surg 1963; 158: 263-69.
  • 79. Moore TC : Gastroschisis and Omphalocele: Clinical Differences. Surgery (GBR) 1977; 82: 561-68.
  • 80. Moore TC, Nur K: An International Survey of Gastroschisis and Omphalocele (490 Cases). I. Nature and Distribution of Additional Malformations. Pediatr Surg Int 1986; 1: 46-50.
  • 81. Moore TC, Nur K: An International Survey of Gastroschisis and Omphalocele (490 Cases). II. Relative Incidence, Pregnancy and Environmental Factors. Pediatr Surg Int 1986; 1: 105-09.
  • 82. Moore TC, Nur K: An International Survey of Gastroschisis and Omphalocele (490 Cases). III. Factors Influencing Outcome of Surgical Assessment. Pediatr Surg Int 1987; 2: 27-32.
  • 83. Moore TC: The Role of Labor in Gastroschisis Bowel Thickening and Prevention by Elective Pre-Term and Pre-Labor Cesarean Section. Pediatr Surg Int 1992; 7: 256-59.
  • 84. Moore TC, Collins DL, Catanzarite V, Hatch J: Pre-Term and Particularly Pre-Labor Cesarean Section to Avoid Complications of Gastroschisis. Pediatr Surg Int 1999; 15: 97-104.
  • 85. Crabbe DC G, Thomas DFM, Beck JM, Spicer RD : Prenatally Diagnosed Gastroschisis: A Case for Pre-term Delivery? Pediatr Surg Int 1991; 6: 108-10.
  • 86. Dunn JC, Fonkalsrud EW, Atkinson JB: The Influence of Gestational Age and Mode of Delivery on Infants With Gastroschisis. J Pediatr Surg 1999; 34: 1393-95.
  • 87. Fasching G, Mayr J, Sauer H: The Effect of Mode of Delivery on Outcome in Fetuses With Gastroschisis. Pediatr Surg Int 1996; 11: 100-02.
  • 88. Häusler MCH, Fasching G, Zotter H et al.: The Influence of the Mode of Delivery on Neonates With Gastroschisis: With Data of the Styrian Malformation Registry. Gynakol. -geburtshilfliche Rundsch 1997; 37: 25-29.
  • 89. Zani A, Ruttenstock E, Davenport M, de-Ajayi N: Is There Unity in Europe? First Survey of EUPSA Delegates on the Management of Gastroschisis. Eur J Pediatr Surg 2013; 23: 19-24.
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Bibliografia
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bwmeta1.element.-psjd-doi-10_1515_pjs-2015-0068
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