Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Home Print this page Email this page
Users Online:: 124
Year : 2007  |  Volume : 10  |  Issue : 4  |  Page : 115-118

Presentation and management of gastroschisis: Experience in 8 years in Benin-City, Nigeria

Paediatric Surgery Unit, Department of Surgery, University of Benin Teaching Hospital, Benin City, Nigeria

Correspondence Address:
O D Osifo
Paediatric Surgery Unit, Department of Surgery, University of Benin Teaching Hospital, Benin City
Login to access the Email id

Source of Support: None, Conflict of Interest: None

Rights and PermissionsRights and Permissions

Congenital anterior abdominal wall defect occurs commonly and requires specialized management. Thirteen cases of gastroschisis treated at the University of Benin Teaching Hospital, Benin City over an 8-year period is presented. There were nine males and four females (male/female ratio 2.3:1). Time lag before presentation ranged between 5 and 36 hours (mean 16.8 ± 9.9 hours). Only six (46.15%) presented in the unit within 12 hours of birth, while seven (53.85%) presented after 12 hours with varying degrees of complications. Of the six that presented within 12 hours, one death (16.65%) was recorded whereas six deaths (85.71%) were recorded among those that presented after 12 hours (P = 0.0291, Fisher's exact). The causes of deaths were fluid and electrolytes derangement, hypothermic. overwhelming sepsis, respiratory failure and inanition. Two were too ill for surgical intervention and died during resuscitation. Eleven were operated between 4 and 8 hours on presentation. Of the Six that had digital stretching of abdominal cavity, gastric suctioning/rectal irrigation and primary abdominal closure, three died and three survived. The two who had bowel gangrene for which resection/anastomosis and primary abdominal closure were done, survived. Of the three that had improvised prosthetic silo closure, two died and one survived. Overall, six (46.2%) survived while mortality of seven (53.8%) was recorded. This study shows that delay in presentation resulted in high morbidity and mortality rates.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded97    
    Comments [Add]    

Recommend this journal