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Pediatric Surgery International

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Open Access 01-05-2020 | Trisomy 18 | Original Article

Decentralized surgery of abdominal wall defects in Germany

Authors: Andrea Schmedding, Boris Wittekind, Emilia Salzmann-Manrique, Rolf Schloesser, Udo Rolle

Published in: Pediatric Surgery International | Issue 5/2020

Abstract

Purpose

Neonatal surgery for abdominal wall defects is not performed in a centralized manner in Germany. The aim of this study was to investigate whether treatment for abdominal wall defects in Germany is equally effective compared to international results despite the decentralized care.

Methods

All newborn patients who were clients of the major statutory health insurance company in Germany between 2009 and 2013 and who had a diagnosis of gastroschisis or omphalocele were included. Mortality during the first year of life was analysed.

Results

The 316 patients with gastroschisis were classified as simple (82%) or complex (18%) cases. The main associated anomalies in the 197 patients with omphalocele were trisomy 18/21 (8%), cardiac anomalies (32%) and anomalies of the urinary tract (10%). Overall mortality was 4% for gastroschisis and 16% for omphalocele. Significant factors for non-survival were birth weight below 1500 g for both groups, complex gastroschisis, volvulus and anomalies of the blood supply to the intestine in gastroschisis, and female gender, trisomy 18/21 and lung hypoplasia in omphalocele.

Conclusions

Despite the fact that paediatric surgical care is organized in a decentralized manner in Germany, the mortality rates for gastroschisis and omphalocele are equal to those reported in international data.

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Title: Decentralized surgery of abdominal wall defects in Germany
Authors: Andrea Schmedding
Boris Wittekind
Emilia Salzmann-Manrique
Rolf Schloesser
Udo Rolle
Publication date: 01-05-2020
Publisher: Springer Berlin Heidelberg
Keyword: Trisomy 18
Published in: Pediatric Surgery International / Issue 5/2020
Print ISSN: 0179-0358
Electronic ISSN: 1437-9813
DOI: https://doi.org/10.1007/s00383-020-04647-7

2024 ASCO Annual Meeting

Springer Medicine

Decentralized surgery of abdominal wall defects in Germany

Abstract

Purpose

Methods

Results

Conclusions

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

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