Year: 2025
Type: article
Study design: Case Report
Abstract: This case report presents a preterm infant (36 weeks) with gastroschisis, successfully treated using a two-stage surgical approach. The newborn exhibited evisceration of the stomach and small intestine through a small umbilical defect, with significant edema but no additional anomalies. Due to the severity of the edema and limited abdominal capacity, a staged repair was planned. The first stage involved repositioning the stomach and duodenum into the abdominal cavity. In the second stage, the remaining bowel was placed in a sterile sac suspended above the incubator, allowing gradual reduction over 2 days. Enteral nutrition was initiated after 1 week. The approach resulted in a smooth recovery without complications, suture failure, or incisional hernia. This case highlights the importance of meticulous surgical planning in improving outcomes for neonates with complex conditions.
Source: Journal of Surgical Case Reports
DOI: 10.1093/jscr/rjaf234
Institutions: Hama University, Saarland University, Al-Sham Private University
Language: English
Subfield: Surgery
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4409723205