Morbilidad y mortalidad en recién nacidos con defectos de pared abdominal anterior (onfalocele y gastrosquisis) / Morbidity and mortality in newborns with omphalocele and gastroschisis anterior abdominal wall defects
Gac. méd. Méx
;
138(6): 519-526, Nov.-Dec. 2002.
Article
in Spanish
| LILACS
| ID: lil-334530
RESUMEN
OBJECTIVE:
To identify morbidity and mortality in newborns with congenital defects of the anterior abdominal wall.DESIGN:
Descriptive, comparative, and retrospective study. PATIENTS Thirty nine patients with gastroschisis and 26 patients with omphalocele.RESULTS:
Median size of the defect in the gastroschisis group was 4 cm. Infants underwent primary closure en 41 of cases. Post-surgical morbidity occurred in 74 of patients with sepsis the main complication in 61.5. A total of 16.2 died mainly due to acute renal failure and sepsis. In the omphalocele group, median size of defect was 5.5 cm. Primary closure was done in 65 of patients. Complications occurred in 65 of newborns, sepsis was the most frequent complication (46). Mortality rate was 16.6 related to acute renal failure and cardiogenic shock.CONCLUSIONS:
The main causes of morbidity in the two groups were infections and acute renal failure. Mortality rate was similar to that reported in the world literature for gastroschisis and slightly lower for omphalocele.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Gastroschisis
/
Hernia, Umbilical
Type of study:
Observational study
Limits:
Female
/
Humans
/
Male
/
Infant, Newborn
Language:
Spanish
Journal:
Gac. méd. Méx
Journal subject:
Medicine
Year:
2002
Type:
Article
Affiliation country:
Mexico
Institution/Affiliation country:
Instituto Mexicano del Seguro Social/MX
Similar
MEDLINE
...
LILACS
LIS