Home | About Us | Current Issue | Ahead of print | Archives | Search | Instructions | Subscription | Feedback | Editorial Board | e-Alerts | Login 
Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
 Users Online:1290 
  Print this page Email this page   Small font sizeDefault font sizeIncrease font size
Year : 2000  |  Volume : 5  |  Issue : 4  |  Page : 176-178

Management of gastros chisis with minimal surgical intervention and minimal anesthesia : a case report

Department of Pediatric Surgery BJ Wadia Hospital for Children Parel, Mumbai-400012

Correspondence Address:
IV Meisheri
Department of Pediatric Surgery BJ Wadia Hospital for Children Parel, Mumbai-400012

Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

ABSTRACT: Gastroschisis is not a very uncommon surgical emergency. Problems associated with Gastroschisis are prematurity, low birth weight, underdeveloped peritoneal cavity, and delayed resumption of gastrointestinal flow, associated with gastrointestinal anomalies. Its ideal management varies from case to case and surgeon to surgeon. The timing of intervention is an important factor. Although immediate surgical intervention has largely been recommended, there are reports from Bianchi and Dickson where delayed reduction was done without anesthesia after more stable cardiovascular, respiratory and renal parameters were established. We had a preterm, low birth weight male neonate who presented with gastroschisis on the first day of life. After initial stabilization, we reduced the contents, under caudal anesthesia, by extending the defect by one centimeter on the right side, and did a one stitch skin closure. This minimal intervention resulted in decreased morbidity, early return of bowel function, no parenteral nutrition, good cosmetic result, no general anesthesia, no ventilatory support and reduced hospital stay and expenses.

[PDF Not available]*

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal


Contact us | Sitemap | Advertise | What's New | Copyright and Disclaimer | Privacy Notice

  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05