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Sutureless vs Sutured Gastroschisis Closure

Not Applicable
Terminated
Conditions
Gastroschisis
Interventions
Procedure: Gastroschisis closure without suture
Procedure: Gastroschisis closure with suture
Registration Number
NCT01094587
Lead Sponsor
Stanford University
Brief Summary

This study aims to prospectively assess outcomes of sutureless versus sutured gastroschisis closure with a randomized control trial. The parameters of this trial were determined using our retrospective study as pilot data. Primary outcome measures will be time on ventilator and time to initiating enteral feeds. Other outcome measures will include cosmetic outcome, length of hospital stay and the associated rate of complications, including bowel resection, sepsis, and death.

Detailed Description

This study aims to prospectively assess outcomes of sutureless versus sutured gastroschisis closure with a randomized control trial. The parameters of this trial were determined using our retrospective study as pilot data. Primary outcome measures will be time on ventilator and time to initiating enteral feeds. Other outcome measures will include cosmetic outcome, length of hospital stay and the associated rate of complications, including bowel resection, sepsis, and death.

In comparing these techniques of gastroschisis closure, we can further evaluate which is the safer and more efficacious method, thereby improving patient care while decreasing hospital cost.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
39
Inclusion Criteria

Inclusion criteria are the diagnosis of gastroschisis, birth weight of 1500 grams or greater, and gestational age of 34 weeks or more.

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Exclusion Criteria

Exclusion criteria are infants with other major abnormalities or medical conditions, grade IV intraventricular hemorrhage, inability to obtain informed consent, and the presence of a closed-type gastroschisis defect.

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Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Sutureless closureGastroschisis closure without suture-
Sutured closureGastroschisis closure with suture-
Primary Outcome Measures
NameTimeMethod
Time on ventilatorUp to 1 week
Time to initiating enteral feedsUp to 4 weeks
Secondary Outcome Measures
NameTimeMethod
Cosmesis6 months after hospital discharge
Length of hospital stayUp to 6 weeks
Complications including bowel resection, sepsis, and death.Up to 45 days

Trial Locations

Locations (1)

Stanford University School of Medicine

🇺🇸

Stanford, California, United States

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