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Surgical Management Of Gastroschisis

Completed
Conditions
Neonatal Disease
Gastroschisis
Complication,Postoperative
Hernia, Umbilical
Registration Number
NCT06461325
Lead Sponsor
University Hospital, Clermont-Ferrand
Brief Summary

The investigators aim to analyze the management of children born with gastroschisis between January 2009 and December 2023, i.e. to evaluate post-operative follow-up, hospitalization costs, the risk of post-operative umbilical hernia, and the parents' and the child's appreciation of the scar.

Detailed Description

Gastroschisis is an abdominal wall anomaly that affects 3 in 10,000 live births, and in over 90% of cases is diagnosed before birth. In fetuses with gastroschisis, the intestine protrudes through a defect in the abdominal wall, usually to the right of the umbilical cord. Although the survival rate of live newborns with gastroschisis is over 90%, the risk of intrauterine fetal death is still 7.5 times higher than in the normal population, and gastroschisis can cause significant morbidity during the neonatal period.

The scientific literature suggests multiple options for each stage in the care of children with gastroschisis, both pre- and postnatally. Heterogeneity of practice exists even within the same geographical area, and deserves to be analyzed.

In this context, the investigators wish to analyze the management of children born with gastroschisis between January 2009 and December 2023, i.e. to evaluate post-operative follow-up, hospitalization costs, the risk of post-operative umbilical hernia, and the parents' and the child's appreciation of the scar.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Patients born with gastroschisis between January 2009 and December 2023
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Exclusion Criteria
  • Patients born with gastroschisis before January 2009 or after December 2023 Patients without gastroschisis
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Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Number of patients with medical complicationsthrough study completion, an average of 1 year

sepsis, infections,

Number of patients with surgical complicationsthrough study completion, an average of 1 year

disunion, hernia scar

Secondary Outcome Measures
NameTimeMethod
Length of staythrough study completion, an average of 1 year

Length of stay

Rate of Hospitalization Cost by patientthrough study completion, an average of 1 year

Costs by department, overall costs

Trial Locations

Locations (1)

Clermont-Ferrand University Hospital

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Clermont-Ferrand, Auvergne, France

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