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ID: 382 (Conflict of Interest: K)

Erste Erfahrungen mit der Anwendung eines improvisierten Silo-Beutels zur Versorgung von Gastroschisis Patienten in einem Entwicklungsland

L.-J.Anyanwu, U.Rolle
Kano Hospital, Kano

Einleitung

Although the treatment of choice for gastroschisis is debatable, there are many who favour a staged closure following silo application. Given the non-availability of silastic silo bags in many developing countries, improvisation is the rule in these settings. The aim of this study is to evaluate the outcome of neonates with gastroschisis managed with an improvised silo bag in our unit. 

Material und Methoden

This is a retrospective review of the records of patients managed for gastroschisis in our unit using an improvised sutureless silo bag between October 2014 and April 2016. A structured questionnaire was used to collect demographic and clinical data for analysis. Data were analysed using SPSS version 15.0 for windows (SPSS Inc., Chicago, IL). A p-value < 0.05 was considered significant. 

Ergebnisse

In all, 10 neonates were included into the study. Of these, 7 were girls (70%) and 3 were boys (30%). The female/male ratio was 2-3:1. The mean age on admission was 1.5 days (SD 0.53). The mean gestational age was 36.5 weeks (SD 1.77 weeks), and the mean weight on admission was 2.3kg (SD 0.47kg). The mortality rate was 60% (6/10), which was less than our 5 year mortality for gastroschisis patients managed with sutured improvised silo i.e. 100% (11/11),  this was statistically significant (p< 0.05). 

Schlussfolgerung

Use of our improvised sutureless silo bag seemed to improve our patient outcome. Further studies would be required to determine its efficacy in low income settings like ours.