Research Article
Challenges of Perioperative Management and Outcome of Neonates with Gastroschisis in a Tertiary Hospital in Southern Nigeria
Iluobe Inegbenosun*
,
Osayomwanbo Osaheni
Issue:
Volume 2, Issue 5, October 2026
Pages:
274-279
Received:
20 August 2026
Accepted:
31 August 2026
Published:
20 September 2026
DOI:
10.11648/j.ri.20260205.11
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Abstract: Gastroschisis is a congenital full thickness anterior abdominal wall defect with exposure of intraabdominal content of varying degree and affected neonates are at risk of fluid loss, sepsis, hypothermia, and metabolic derangements. Perioperative management plays a pivotal role in stabilizing these newborns and influences better clinical outcome. The aim of this 3-year retrospective study was to assess the relationship between the age at presentation, type of anaesthesia rendered and outcomes recorded among neonates diagnosed with gastroschisis as well as to highlight the challenges associated with the perioperative management. Methods: This study is a three-year retrospective review (2023-2025) of neonates with gastroschisis managed at the University of Benin Teaching Hospital (UBTH). Hospital records of neonates with gastroschisis who underwent surgical repair within the study period were retrieved. Data extracted were demographic characteristics, clinical diagnosis, surgical procedures, anesthetic technique, length of hospital stay and outcome. Results: Nine cases were reviewed, 5 Females (55.6%) and 4 males (44.4%). The age at presentation ranged from 2 hours to 48hours. Isolated gastroschisis alone accounted for 77.8% of cases, while gastroschisis with intestinal atresia and gastroschisis with gangrenous bowel accounted for 11.1% respectively. General anesthesia was used for all patients. Length of postoperative hospital stay ranged from 3 to 16 days. Mortality was recorded in all patients, with highest number of mortality (33.3%) on the 10th day on admission. Conclusion: We therefore emphasize the high rate of mortality among patients with gastroschisis and highlight the need for adequate perioperative management of neonates with gastroschisis.
Abstract: Gastroschisis is a congenital full thickness anterior abdominal wall defect with exposure of intraabdominal content of varying degree and affected neonates are at risk of fluid loss, sepsis, hypothermia, and metabolic derangements. Perioperative management plays a pivotal role in stabilizing these newborns and influences better clinical outcome. Th...
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