Gastroschisis: Factors Affecting Prognosis

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Abstract
Over a 10 yr period 21 children with gastroschisis were treated with a direct full-layer closure or with a silastic sac closure of the abdominal wall defect. No mortality or long-term morbidity resulted from either form of therapy in the group of patients that had no anatomical interruption of the gastro-intestinal tract. Silastic sac closure resulted in a higher incidence of septicemia. In the group of patients that presented with an anatomical interruption of the gastrointestinal tract, considerable mortality and morbidity resulted. The outcome in these patients was determined by the associated bowel lesion rather than by the gastroschisis as such.

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