The outcomes of treatment between primary closure and staged closure in gastroschisis in the pre and post era of the bedside wound retractor silo placement technique
Topic overview
This retrospective study compares primary versus staged closure techniques for gastroschisis repair across two eras, before and after introduction of bedside wound retractor silo placement. Results show that staged closure with bedside silo technique achieves comparable early feeding outcomes to primary closure, making it a viable alternative when primary repair is not feasible.
Key takeaways
- Primary closure achieved higher early enteral feeding rates than staged closure in the pre-BSC era (OR 21.98), but no difference post-BSC.
- Bedside wound retractor silo placement (BSC) improved staged closure outcomes to match primary closure for early feeding success.
- Staged closure with BSC is a safe alternative when primary closure is not feasible, with comparable complication rates.
- Overall early enteral feeding success was 42% across all gastroschisis patients, with primary closure at 52.2% vs staged at 22.2%.
- BSC technique represents a significant advancement in gastroschisis management, making staged closure a viable first-line option.
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How to cite: GlobalCastMD. The outcomes of treatment between primary closure and staged closure in gastroschisis in the pre and post era of the bedside wound retractor silo placement technique. GlobalCastMD Medical Library. 2025-01-07. https://dev.library.globalcastmd.com/article/9611?via_space=staycurrentmd
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