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| Year : 2000 | Volume
: 5
| Issue : 4 | Page : 176-178 |
Management of gastros chisis with minimal surgical intervention and minimal anesthesia : a case report
IV Meisheri, M Maheshwari, V Sawant, B Jaiker, J Kamdar, R Thakur
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
 Source of Support: None, Conflict of Interest: None  | Check |
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.
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