Gastroschisis: methods and early outcomes of surgical treatment

Introduction: Gastroschisis is a congenital anomaly in which loops of intestine are displaced outside the abdominal cavity through defect wall. The incidence steadily increasing. It particularly attributed to young maternal age. requires urgent surgical intervention after birth. Aim: article aims present methods and early outcomes treatment new-borns with gastroschisis context pre- postnatal examinations, attempts identify risk factors for occurrence defect. Material methods: study used data derived from medical records 18 patients Regional Specialist Children’s Hospital Olsztyn. Prenatal, peri- postoperative were analysed. classified simple complex gastroschisis. Results discussion: was diagnosed prenatally 15 new-borns. In 16 cases, gestation terminated by caesarean section. mean age at birth 23 years; 14 woman pregnant first time. All operated on day 1 life. patients, primary closure wall performed. duration mechanical ventilation 13.31 days, total parenteral nutrition – 29 day, administration enteral 11.88 days length hospital stay 39.75 group infants Conclusions: severe causing an immediate threat optimal procedure use silastic sac enables staged closure. Risk include primiparity.