Outcomes of sutureless gastroschisis closure

Outcome Differences Between Gastroschisis Repair Methods

“…We did observe more laparotomies needed by patients who underwent staged repairs, but the measurements for postoperative stress for these additional laparotomies unrelated to the gastroschisis repair were not included in our calculation; therefore, the difference is not accounted for by patients who have intestinal atresia or complications unrelated to gastroschisis. While some studies in the past have reported equivalent outcomes between patients who had different closure techniques [12,13], some have touted the advantages of primary closure, particularly sutureless closure [20]. In addition to less postoperative stress, we have shown that patients who had primary repairs initiated enteral feeding earlier and tended to receive less parenteral nutrition.…”

“…In 2004, a sutureless technique for gastroschisis closure was reported [11]. The safety of this technique has been confirmed by many centers [12][13][14]. These reports, however, did not demonstrate any significant differences in patient survival, durations of hospitalization, parenteral nutrition support, and ventilator support.…”

A new paradigm of scarless abdominal surgery in children: Transumbilical minimal incision surgery

“…In the case of sutureless gastroschisis closure, the abdominal wall was noted to close spontaneously. From our own experience with sutureless gastroschisis closure, the slightly outer incision of the umbilicus shrinks towards the center of the umbilicus [11,12]. Therefore, we recently adopted the slightly outer so-called "supraumbilical" incision of the umbilicus.…”

A comparison of circumumbilical and transverse abdominal incisions for neonatal abdominal surgery

“…Despite this, none of the incisional hernias in the circumumbilical group required surgical repair, whereas 33% of hernias in the transverse abdominal group required repair. This may be because of the natural propensity of the umbilical fascia to close in the first 2 years, as is seen in naturally occurring umbilical hernias [10] and in children who develop a hernia after closure of gastroschisis [11,12].…”