Umbilical hernia following gastroschisis closure: a common event?
Purpose To assess incidence and natural history of umbilical hernia following sutured and sutureless gastroschisis closure. Methods With audit approval, we undertook a retrospective clinical record review of all gastroschisis closures in our institution (2007–2013). Patient demographics, gastroschis...
Gespeichert in:
| Veröffentlicht in: | Pediatric surgery international 2016-08, Vol.32 (8), p.811-814 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 814 |
|---|---|
| container_issue | 8 |
| container_start_page | 811 |
| container_title | Pediatric surgery international |
| container_volume | 32 |
| creator | Tullie, L. G. C. Bough, G. M. Shalaby, A. Kiely, E. M. Curry, J. I. Pierro, A. De Coppi, P. Cross, K. M. K. |
| description | Purpose
To assess incidence and natural history of umbilical hernia following sutured and sutureless gastroschisis closure.
Methods
With audit approval, we undertook a retrospective clinical record review of all gastroschisis closures in our institution (2007–2013). Patient demographics, gastroschisis closure method and umbilical hernia occurrence were recorded. Data, presented as median (range), underwent appropriate statistical analysis.
Results
Fifty-three patients were identified, gestation 36 weeks (31–38), birth weight 2.39 kg (1–3.52) and 23 (43 %) were male. Fourteen patients (26 %) underwent sutureless closure: 12 primary, 2 staged; and 39 (74 %) sutured closure: 19 primary, 20 staged. Sutured closure was interrupted sutures in 24 patients, 11 pursestring and 4 not specified. Fifty patients were followed-up over 53 months (10–101) and 22 (44 %) developed umbilical hernias. There was a significantly greater hernia incidence following sutureless closure (
p
= 0.0002). In sutured closure, pursestring technique had the highest hernia rate (64 %). Seven patients underwent operative hernia closure; three secondary to another procedure. Seven patients had their hernias resolve. One patient was lost to follow-up and seven remain under observation with no reported complications.
Conclusions
There is a significant umbilical hernia incidence following sutureless and pursestring sutured gastroschisis closure. This has not led to complications and the majority have not undergone repair. |
| doi_str_mv | 10.1007/s00383-016-3906-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1804867301</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1804867301</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-4dbf820a2cc5a6a672e8dcc514081688820ac9f7d2ef8493415f3b8d1065c3843</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuX6kyTtqkXWRa_YMGLew5pmu52aZs1aRX_vSldRQRPMzBP3pk8hJwjXCNAeuMAKKchYBLSDJIQD8gUGU3DjCM9JFPANAuBxnxCTpzbAgCnSXZMJlFKGYs5m5L5qsmrulKyDjbatpUMSlPX5qNq18Faus4apzaVq1ygauN6q28DGSjTNKYN9Ltuu7tTclTK2umzfZ2R1cP96-IpXL48Pi_my1AxFnUhK_KSRyAjpWKZyCSNNC98jww4JpwPM5WVaRHpkrOMMoxLmvMCIYkV5YzOyNWYu7PmrdeuE03llK5r2WrTO4EcGE9SCujRyz_o1vS29dd5CtGvi-PUUzhSyn_SWV2Kna0aaT8Fghj8itGv8H7F4FcMyRf75D5vdPHz4luoB6IRcH7UrrX9tfrf1C9dZ4P0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1811168557</pqid></control><display><type>article</type><title>Umbilical hernia following gastroschisis closure: a common event?</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Tullie, L. G. C. ; Bough, G. M. ; Shalaby, A. ; Kiely, E. M. ; Curry, J. I. ; Pierro, A. ; De Coppi, P. ; Cross, K. M. K.</creator><creatorcontrib>Tullie, L. G. C. ; Bough, G. M. ; Shalaby, A. ; Kiely, E. M. ; Curry, J. I. ; Pierro, A. ; De Coppi, P. ; Cross, K. M. K.</creatorcontrib><description>Purpose
To assess incidence and natural history of umbilical hernia following sutured and sutureless gastroschisis closure.
Methods
With audit approval, we undertook a retrospective clinical record review of all gastroschisis closures in our institution (2007–2013). Patient demographics, gastroschisis closure method and umbilical hernia occurrence were recorded. Data, presented as median (range), underwent appropriate statistical analysis.
Results
Fifty-three patients were identified, gestation 36 weeks (31–38), birth weight 2.39 kg (1–3.52) and 23 (43 %) were male. Fourteen patients (26 %) underwent sutureless closure: 12 primary, 2 staged; and 39 (74 %) sutured closure: 19 primary, 20 staged. Sutured closure was interrupted sutures in 24 patients, 11 pursestring and 4 not specified. Fifty patients were followed-up over 53 months (10–101) and 22 (44 %) developed umbilical hernias. There was a significantly greater hernia incidence following sutureless closure (
p
= 0.0002). In sutured closure, pursestring technique had the highest hernia rate (64 %). Seven patients underwent operative hernia closure; three secondary to another procedure. Seven patients had their hernias resolve. One patient was lost to follow-up and seven remain under observation with no reported complications.
Conclusions
There is a significant umbilical hernia incidence following sutureless and pursestring sutured gastroschisis closure. This has not led to complications and the majority have not undergone repair.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-016-3906-1</identifier><identifier>PMID: 27344584</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Female ; Gastroschisis - surgery ; Hemostasis, Surgical - instrumentation ; Hernia, Umbilical - etiology ; Humans ; Infant, Newborn ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Postoperative Complications ; Retrospective Studies ; Surgery ; Suture Techniques ; Sutures</subject><ispartof>Pediatric surgery international, 2016-08, Vol.32 (8), p.811-814</ispartof><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-4dbf820a2cc5a6a672e8dcc514081688820ac9f7d2ef8493415f3b8d1065c3843</citedby><cites>FETCH-LOGICAL-c442t-4dbf820a2cc5a6a672e8dcc514081688820ac9f7d2ef8493415f3b8d1065c3843</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-016-3906-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-016-3906-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27344584$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Tullie, L. G. C.</creatorcontrib><creatorcontrib>Bough, G. M.</creatorcontrib><creatorcontrib>Shalaby, A.</creatorcontrib><creatorcontrib>Kiely, E. M.</creatorcontrib><creatorcontrib>Curry, J. I.</creatorcontrib><creatorcontrib>Pierro, A.</creatorcontrib><creatorcontrib>De Coppi, P.</creatorcontrib><creatorcontrib>Cross, K. M. K.</creatorcontrib><title>Umbilical hernia following gastroschisis closure: a common event?</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
To assess incidence and natural history of umbilical hernia following sutured and sutureless gastroschisis closure.
Methods
With audit approval, we undertook a retrospective clinical record review of all gastroschisis closures in our institution (2007–2013). Patient demographics, gastroschisis closure method and umbilical hernia occurrence were recorded. Data, presented as median (range), underwent appropriate statistical analysis.
Results
Fifty-three patients were identified, gestation 36 weeks (31–38), birth weight 2.39 kg (1–3.52) and 23 (43 %) were male. Fourteen patients (26 %) underwent sutureless closure: 12 primary, 2 staged; and 39 (74 %) sutured closure: 19 primary, 20 staged. Sutured closure was interrupted sutures in 24 patients, 11 pursestring and 4 not specified. Fifty patients were followed-up over 53 months (10–101) and 22 (44 %) developed umbilical hernias. There was a significantly greater hernia incidence following sutureless closure (
p
= 0.0002). In sutured closure, pursestring technique had the highest hernia rate (64 %). Seven patients underwent operative hernia closure; three secondary to another procedure. Seven patients had their hernias resolve. One patient was lost to follow-up and seven remain under observation with no reported complications.
Conclusions
There is a significant umbilical hernia incidence following sutureless and pursestring sutured gastroschisis closure. This has not led to complications and the majority have not undergone repair.</description><subject>Female</subject><subject>Gastroschisis - surgery</subject><subject>Hemostasis, Surgical - instrumentation</subject><subject>Hernia, Umbilical - etiology</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Suture Techniques</subject><subject>Sutures</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1kE1LxDAQhoMo7rr6A7xIwYuX6kyTtqkXWRa_YMGLew5pmu52aZs1aRX_vSldRQRPMzBP3pk8hJwjXCNAeuMAKKchYBLSDJIQD8gUGU3DjCM9JFPANAuBxnxCTpzbAgCnSXZMJlFKGYs5m5L5qsmrulKyDjbatpUMSlPX5qNq18Faus4apzaVq1ygauN6q28DGSjTNKYN9Ltuu7tTclTK2umzfZ2R1cP96-IpXL48Pi_my1AxFnUhK_KSRyAjpWKZyCSNNC98jww4JpwPM5WVaRHpkrOMMoxLmvMCIYkV5YzOyNWYu7PmrdeuE03llK5r2WrTO4EcGE9SCujRyz_o1vS29dd5CtGvi-PUUzhSyn_SWV2Kna0aaT8Fghj8itGv8H7F4FcMyRf75D5vdPHz4luoB6IRcH7UrrX9tfrf1C9dZ4P0</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Tullie, L. G. C.</creator><creator>Bough, G. M.</creator><creator>Shalaby, A.</creator><creator>Kiely, E. M.</creator><creator>Curry, J. I.</creator><creator>Pierro, A.</creator><creator>De Coppi, P.</creator><creator>Cross, K. M. K.</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20160801</creationdate><title>Umbilical hernia following gastroschisis closure: a common event?</title><author>Tullie, L. G. C. ; Bough, G. M. ; Shalaby, A. ; Kiely, E. M. ; Curry, J. I. ; Pierro, A. ; De Coppi, P. ; Cross, K. M. K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-4dbf820a2cc5a6a672e8dcc514081688820ac9f7d2ef8493415f3b8d1065c3843</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Female</topic><topic>Gastroschisis - surgery</topic><topic>Hemostasis, Surgical - instrumentation</topic><topic>Hernia, Umbilical - etiology</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Suture Techniques</topic><topic>Sutures</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tullie, L. G. C.</creatorcontrib><creatorcontrib>Bough, G. M.</creatorcontrib><creatorcontrib>Shalaby, A.</creatorcontrib><creatorcontrib>Kiely, E. M.</creatorcontrib><creatorcontrib>Curry, J. I.</creatorcontrib><creatorcontrib>Pierro, A.</creatorcontrib><creatorcontrib>De Coppi, P.</creatorcontrib><creatorcontrib>Cross, K. M. K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tullie, L. G. C.</au><au>Bough, G. M.</au><au>Shalaby, A.</au><au>Kiely, E. M.</au><au>Curry, J. I.</au><au>Pierro, A.</au><au>De Coppi, P.</au><au>Cross, K. M. K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Umbilical hernia following gastroschisis closure: a common event?</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>32</volume><issue>8</issue><spage>811</spage><epage>814</epage><pages>811-814</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
To assess incidence and natural history of umbilical hernia following sutured and sutureless gastroschisis closure.
Methods
With audit approval, we undertook a retrospective clinical record review of all gastroschisis closures in our institution (2007–2013). Patient demographics, gastroschisis closure method and umbilical hernia occurrence were recorded. Data, presented as median (range), underwent appropriate statistical analysis.
Results
Fifty-three patients were identified, gestation 36 weeks (31–38), birth weight 2.39 kg (1–3.52) and 23 (43 %) were male. Fourteen patients (26 %) underwent sutureless closure: 12 primary, 2 staged; and 39 (74 %) sutured closure: 19 primary, 20 staged. Sutured closure was interrupted sutures in 24 patients, 11 pursestring and 4 not specified. Fifty patients were followed-up over 53 months (10–101) and 22 (44 %) developed umbilical hernias. There was a significantly greater hernia incidence following sutureless closure (
p
= 0.0002). In sutured closure, pursestring technique had the highest hernia rate (64 %). Seven patients underwent operative hernia closure; three secondary to another procedure. Seven patients had their hernias resolve. One patient was lost to follow-up and seven remain under observation with no reported complications.
Conclusions
There is a significant umbilical hernia incidence following sutureless and pursestring sutured gastroschisis closure. This has not led to complications and the majority have not undergone repair.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27344584</pmid><doi>10.1007/s00383-016-3906-1</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-0358 |
| ispartof | Pediatric surgery international, 2016-08, Vol.32 (8), p.811-814 |
| issn | 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1804867301 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Female Gastroschisis - surgery Hemostasis, Surgical - instrumentation Hernia, Umbilical - etiology Humans Infant, Newborn Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Postoperative Complications Retrospective Studies Surgery Suture Techniques Sutures |
| title | Umbilical hernia following gastroschisis closure: a common event? |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-31T17%3A22%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Umbilical%20hernia%20following%20gastroschisis%20closure:%20a%20common%20event?&rft.jtitle=Pediatric%20surgery%20international&rft.au=Tullie,%20L.%20G.%20C.&rft.date=2016-08-01&rft.volume=32&rft.issue=8&rft.spage=811&rft.epage=814&rft.pages=811-814&rft.issn=0179-0358&rft.eissn=1437-9813&rft_id=info:doi/10.1007/s00383-016-3906-1&rft_dat=%3Cproquest_cross%3E1804867301%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1811168557&rft_id=info:pmid/27344584&rfr_iscdi=true |