• Mustafa Behram, Süleyman Cemil Oğlak, Seyithan Özaydın, Sema Süzen Çaypınar, İlker Gönen, Şeyhmus Tunç, Yusuf Başkıran, and İsmail Özdemir.
• Department of Perinatology, Health Sciences University, Kanuni Sultan Süleyman Training and Research Hospital, İstanbul, Turkey
• Turk J Med Sci. 2021 Jun 28; 51 (3): 1587-1595.

Background/AimThere are numerous debates in the management of gastroschisis (GS). The current study aimed to evaluate perinatal outcomes and surgical and clinical characteristics among GS patients based on their type of GS, abdominal wall closure method, and delivery timing.Materials And MethodsThis study was a retrospective analysis of prospectively collected data of 29 fetuses with GS that were prenatally diagnosed, delivered, and managed between June 2015 and December 2019 at the Obstetrics and Pediatric Surgery Clinics of Kanuni Sultan Süleyman Training and Research Hospital.ResultsTwenty-three of the patients had simple GS, and six of them had complex GS. The reoperation requirement, number of operations, duration of mechanical ventilation, time to initiate feeding, time to full enteral feeding, total parenteral nutrition (TPN) duration, TPN-associated cholestasis, wound infection, sepsis, and necrotizing enterocolitis were significantly lower in the simple GS group than in the complex GS group. The mean hospital length of stay was 3.5 times longer in the complex GS group (121.50 ± 24.42 days) than in the simple GS group (33.91 ± 4.13 days, p = 0.009). There were no cases of death in the simple GS group. However, two deaths occurred in the complex GS group.ConclusionThis study indicated that simple GS, compared with complex GS, was associated with improved neonatal outcomes. We suggest that the main factor affecting the patients’ outcomes is whether the patient is a simple or complex GS rather than the abdominal wall closure method.This work is licensed under a Creative Commons Attribution 4.0 International License.

18 keywords...

hide…