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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.
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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Bianchi | Gastroschisis treated by the Bianchi procedure | ||
| Schuster | Gastroschisis treated by the Schuster procedure | ||
| Sutureless | Gastroschisis treated by the Sutureless procedure | ||
| Vacuum Assisted Closure | Gastroschisis treated by Vacuum Assisted Closure |
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| Measure | Description | Time Frame |
|---|---|---|
| Number of patients with medical complications | sepsis, infections, | through study completion, an average of 1 year |
| Number of patients with surgical complications | disunion, hernia scar | through study completion, an average of 1 year |
| Measure | Description | Time Frame |
|---|---|---|
| Length of stay | Length of stay | through study completion, an average of 1 year |
| Rate of Hospitalization Cost by patient | Costs by department, overall costs |
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Inclusion Criteria:
Exclusion Criteria:
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Patients born with gastroschisis between January 2009 and December 2023
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| Name | Affiliation | Role |
|---|---|---|
| Christelle Destinval | University Hospital, Clermont-Ferrand | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clermont-Ferrand University Hospital | Clermont-Ferrand | Auvergne | 63000 | France |
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| ID | Term |
|---|---|
| D020139 | Gastroschisis |
| D007232 | Infant, Newborn, Diseases |
| D006554 | Hernia, Umbilical |
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D009139 | Musculoskeletal Abnormalities |
| D009140 | Musculoskeletal Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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| through study completion, an average of 1 year |
| D046449 | Hernia, Abdominal |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D006555 | Hernia, Ventral |
| D010335 | Pathologic Processes |