نسبة البقيا عند الأطفال المصابين بانشقاق جدار البطن و العوامل الإنذارية المؤثرة فيه

الملخص EN

Background & aim: The research shows the experience of the children's hospital in the management of patients with gastroschisis and identification of morbidity and mortality ، as well as determining the prognostic factors that affect the survival rate as a step to improve the prognosis in the future ، and then compare the results with some international studies.

Methods: A retrospective study of patients with gastroschisis admitted to the Children Hospital of Damascus and underwent surgical intervention during 10 years between January 2000 and end of December2010.

Results: 70 patients with gastroschisis were studied ، including 38 males and 32 females ، the number of preterm infants 18 and the mean birth weight was 2.48 kg ، the mean age of the mother was 22 years ، the caesarean section was 13 cases.

The prenatal diagnosis done by US in 6 cases as the alpha-feto protein AFP never done.

Several congenital malformations ، such as intestinal atresia ، were observed in 4 cases and mesenteric cyst in one case.

The management was primary closure of the abdominal wall in 7 cases and a phasing closure using a bag in 90% of cases.

The mean age of the newborn at admission was 22 hours and the timing of surgical overlap exceeded this for many reasons.

TPN was applied in 4 cases.

Survival was 5 cases with 7% and deaths in 65 patients.

Conclusions: Death rates are still high in our study as developed countries have significantly improved prenatal and postoperative care ، the application of TPN and the new techniques used to manage these patients ، and we must actively seek to develop care for these neonates in order to improve the survival rate in the future.