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. 2011 Nov 15;343:d6749. doi: 10.1136/bmj.d6749

Table 3.

 Outcomes in infants with simple gastroschisis according to initial management. Figures are percentages (numbers) of infants

Operative primary fascial closure group (n=120) Preformed silo group (n=99) Risk ratio (95% CI) P value
Liver disease associated with intestinal failure 4 (5) 5 (5) 1.22 (0.36 to 4.11) 0.8
Required unplanned re-operation 12 (14) 7 (7) 0.61 (0.25 to 1.44) 0.4
Unplanned reoperations by indication for surgery*:
 Ischaemic bowel 2 (2) 1 (1) 0.61 (0.06 to 6.59) 1.0
 Necrotising enterocolitis 0 (0) 0 (0)
 Adhesional small bowel obstruction 5 (6) 3 (3) 0.61 (0.15 to 2.36) 0.5
 Infective complication 2 (2) 0 (0) 0.5
 Anastomotic stricture 0 (0) 1 (1) 0.5
 Complications related to stoma 0 (0) 0 (0)
 Silo related 1 (1) 1 (1) 1.21 (0.08 to 19.1) 1.0
 Bowel lengthening procedure 0 (0) 0 (0)
 Liver transplantation 0 (0) 0 (0)
 Other unplanned laparotomy 0 (0) 1 (1) 0.5
 Other unplanned operation 3 (3) 4 (4) 1.62 (0.37 to 7.05) 0.7
Parenteral nutrition >28 days† 32 (38) 52 (50) 1.61 (1.17 to 2.24) 0.004
Days to discharge‡:
 <30 46 (53) 28 (27) 0.03
 31-59 30 (35) 40 (38)
 ≥60 24 (28) 32 (31)

*Some infants required more than one unplanned re-operation.

†Excludes six infants who died in neonatal period. Median time (days) to full enteral feeding (including two infants in operative primary fascial closure group and one in preformed silo group who had not attained full enteral feeding at one year) was 22 (interquartile range 15-37, range 3->365) and 28 (20-49, range 7->365), respectively, P=0.02.

‡Excludes all infants who died before age 1 year.