Reduction of Neonatal Gastroschisisa with or without General Anesthesia

Backgrounds and Gastroschisis is a congenital defect in anterior abdominal wall on right side of umbilicus and abdominal viscera protrude from this defect. Reduction under general anesthesia is the routine method of treatment. Recently، to avoid complications of general anesthesia and intubation، reduction without anesthesia has been recommended. This study was conducted in Tabriz، Shahid Beheshti، Mashhad، Shiraz and Ghazvin medical universities between 2010 to 2012 all neonates with Gastroschisis were included and their parents were signed consent. Exclusion criteria were peritonitis، major anomalies and intestinal atresia. Then Gastroschisis was treated with or without general anesthesia. Eighteen infants with Gastroschisis were enrolled the study. 8 cases treated without general anesthesia and 10 cases were reduced under general anesthesia. Infants in the second group had an increased duration of hospitalization، need for mechanical and prolonge، duration of TPN، need for subsequent surgical procedure and prolonge duration of stay in NICU، although it is not significant. Result of this study demonstrate whose patients was reduced without general anesthesia inward، have better outcomes to those whose bowel was reduced under general anesthesia and it seem inward reduction is a safe and effective method for treatment in this anomaly.