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2011, Número 5

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Acta Pediatr Mex 2011; 32 (5)


Gastrosquisis. Su tratamiento en un estudio comparativo

Baeza-Herrera C, Cortés-García R, Cano-Salas MC, García-Cabello LM, Martínez-Leo B

Idioma: Español
Referencias bibliográficas: 50
Paginas: 266-272
Archivo PDF: 205.91 Kb.


RESUMEN

Introducción. La gastrosquisis es una fisura congénita de la pared abdominal, generalmente situada a la derecha del ombligo que requiere cirugía al nacimiento. Aunque la meta es cubrir el defecto en forma segura tan luego sea posible, existe aun controversia en relación al método más conveniente: la reparación inmediata y definitiva o la reparación por etapas.
Material y método. Estudio retrospectivo que compara dos procedimientos: la “umbilicoplastia” versus cubrir el defecto con plástico PVC. El primero se usó en 34 niños y el segundo en 28.
Resultados. El curso clínico con ambos procedimientos fue similar, pero la umbilicoplastia requirió menor duración de la ventilación mecánica, inicio de la alimentación y tuvo menos complicaciones relacionadas con el catéter central.
Conclusión. Ambos métodos tuvieron resultados similares.


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