Estudio comparativo entre la técnica símil exit y técnica convencional SILO como tratamiento quirúrgico en gastrosquisis en el Hospital Roberto Gilbert y Hospital Alfredo Paulson en el año 2016 a 2019.

Abstract

Gastroschisis is a congenital malformation characterized by the exit of the viscera through a paraumbilical hole in the abdominal wall. these organs outside the cavity remain in contact with the amniotic fluid, causing a chronic inflammation reaction. Objective: To determine the effectiveness of the SIMIL EXIT technique and the conventional SILO technique in the Alejandro Mann Hospital Complex. Method: In total, data were collected from 95 patients. Where the patients were analyzed according to age, sex, gestational age, birth weight and presentation of complications after surgery. Results: It was determined that the most affected sex was female. The mean age in days in which the surgical treatment was performed was 36,86 days, with a mean hospital stay of 30,89 days. The surgical technique mostly used for the correction of gastroschisis was the conventional SILO technique, representing 84% of cases. After these procedures, there were no complications in 89.5% of cases, and the most frequent complication presented was intestinal rotation. Conclusions: A very high percentage of performing the SILO surgical technique is presented. But we did not find a statistically significant association of the development of complications compared to sex, nor to the surgical technique performed. Other studies are needed, in which comparisons are made with a larger sample of both populations, in turn determining the pre- existing surgical risk of patients with gastroschisis.