Sutureless vs Sutured Gastroschisis Closure
Study Details
Study Description
Brief Summary
This study aims to prospectively assess outcomes of sutureless versus sutured gastroschisis closure with a randomized control trial. The parameters of this trial were determined using our retrospective study as pilot data. Primary outcome measures will be time on ventilator and time to initiating enteral feeds. Other outcome measures will include cosmetic outcome, length of hospital stay and the associated rate of complications, including bowel resection, sepsis, and death.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
This study aims to prospectively assess outcomes of sutureless versus sutured gastroschisis closure with a randomized control trial. The parameters of this trial were determined using our retrospective study as pilot data. Primary outcome measures will be time on ventilator and time to initiating enteral feeds. Other outcome measures will include cosmetic outcome, length of hospital stay and the associated rate of complications, including bowel resection, sepsis, and death.
In comparing these techniques of gastroschisis closure, we can further evaluate which is the safer and more efficacious method, thereby improving patient care while decreasing hospital cost.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Active Comparator: Sutured closure
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Procedure: Gastroschisis closure with suture
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Active Comparator: Sutureless closure
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Procedure: Gastroschisis closure without suture
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Outcome Measures
Primary Outcome Measures
- Time on ventilator [Up to 1 week]
- Time to initiating enteral feeds [Up to 4 weeks]
Secondary Outcome Measures
- Cosmesis [6 months after hospital discharge]
- Length of hospital stay [Up to 6 weeks]
- Complications including bowel resection, sepsis, and death. [Up to 45 days]
Eligibility Criteria
Criteria
Inclusion Criteria:Inclusion criteria are the diagnosis of gastroschisis, birth weight of 1500 grams or greater, and gestational age of 34 weeks or more.
Exclusion Criteria:Exclusion criteria are infants with other major abnormalities or medical conditions, grade IV intraventricular hemorrhage, inability to obtain informed consent, and the presence of a closed-type gastroschisis defect.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Stanford University School of Medicine | Stanford | California | United States | 94305 |
Sponsors and Collaborators
- Stanford University
Investigators
- Principal Investigator: Sanjeev Dutta, Stanford University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SU-10142009-4180
- IRB Protocol: 16918