Monitoring intravesical pressure during gastroschisis closure. Does it help to decide between delayed primary or staged closure?

dc.creatorSchmidt, AFS
dc.creatorGoncalves, A
dc.creatorBustorff-Silva, JM
dc.creatorOliveira, AG
dc.creatorMiranda, ML
dc.creatorOliveira, ER
dc.creatorMarba, S
dc.creatorSbragia, L
dc.date2012
dc.dateAUG
dc.date2014-07-30T14:03:51Z
dc.date2015-11-26T16:45:56Z
dc.date2014-07-30T14:03:51Z
dc.date2015-11-26T16:45:56Z
dc.date.accessioned2018-03-28T23:31:38Z
dc.date.available2018-03-28T23:31:38Z
dc.identifierJournal Of Maternal-fetal & Neonatal Medicine. Informa Healthcare, v. 25, n. 8, n. 1438, n. 1441, 2012.
dc.identifier1476-7058
dc.identifierWOS:000306439600049
dc.identifier10.3109/14767058.2011.640366
dc.identifierhttp://www.repositorio.unicamp.br/jspui/handle/REPOSIP/57844
dc.identifierhttp://repositorio.unicamp.br/jspui/handle/REPOSIP/57844
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1274370
dc.descriptionIntroduction and objective: Correction of gastroschisis may be accomplished by either primary or staged closure or even delayed primary closure after the use of a preformed silo. However, there is neither a consensus on the best approach nor established criteria to favor one method over the other. The aim of this paper was to investigate the role of intravesical pressure (IVP) as a tool to prevent abdominal compartment syndrome in newborns undergoing correction of abdominal wall defects. Methods: We retrospectively analyzed 45 newborns with gastroschisis in whom trans-operative intravesical pressure was used to choose between primary or staged closure. A threshold of 20 cm H2O was used and the outcomes between the two methods were compared. Results: In 24 children delayed primary closure was achieved while the remaining 21 underwent staged reduction and closure. There was no difference in the frequency of complications, time to begin oral feeding, length of parenteral nutrition or length of hospital stay between the children of the two groups. The incidence of temporary oliguria or anuria, averaged 33% and it was similar in both groups of children. Conclusion: The data here presented suggests that monitoring intraoperative IVP during correction of gastroschisis may help to select children in whom staged closure is necessary, keeping their complication rate and overall outcome similar to that of children undergoing delayed primary closure. Further prospective studies should investigate more deeply the correlation between type of closure and the development of a compartment syndrome.
dc.description25
dc.description8
dc.description1438
dc.description1441
dc.languageen
dc.publisherInforma Healthcare
dc.publisherLondon
dc.publisherInglaterra
dc.relationJournal Of Maternal-fetal & Neonatal Medicine
dc.relationJ. Matern.-Fetal Neonatal Med.
dc.rightsfechado
dc.rightshttp://informahealthcare.com/userimages/ContentEditor/1255620309227/Copyright_And_Permissions.pdf
dc.sourceWeb of Science
dc.subjectGastroschisis
dc.subjectintravesical pressure
dc.subjectcompartment syndrome
dc.subjectAbdominal-wall Defects
dc.subjectIntraabdominal Pressure
dc.subjectManagement
dc.subjectOmphalocele
dc.subjectSilo
dc.subjectInfants
dc.subjectRepair
dc.subjectGuide
dc.titleMonitoring intravesical pressure during gastroschisis closure. Does it help to decide between delayed primary or staged closure?
dc.typeArtículos de revistas


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