"Sutureless Gastroschisis Tied To Significant Benefits But Higher Hernia Risk"
Compared to sutured closure, sutureless gastroschisis is associated with a significant reduction in pain medication requirements and mechanical ventilation duration but may increase the risk of umbilical hernia, researchers say. Peter Midulla, MD, chief of the division of pediatric surgery at the Kravis Children’s Hospital at Mount Sinai, commented, “We agree with the principal conclusions of the authors. At our hospital, we have also converted to the sutureless technique over the past few years.” He added, “The primary advantage is that the procedure can typically be performed at the bedside, avoiding general anesthesia altogether, whether performed in one step, or staged with a silo. It avoids intubation and ventilation completely and avoids the risks of general anesthesia on neonatal brain development, which has recently come to light as a potential concern."
- Peter S. Midulla, MD, Associate Professor, Surgery, Pediatrics, Icahn School of Medicine at Mount Sinai, Chief, Division of Pediatric Surgery, Kravis Children’s Hospital at Mount Sinai