UNASSIGNED: Introduction   Nonsurgical closure after primary silo placement, secondary plastic closure (SPC), has been used as an alternative to secondary surgical closure (SSC) in @entity6675 . The benefits described were closure without formal surgical procedure, cosmetic aspect, and minimization of intra-abdominal pressures. This study compared requirements for mechanical ventilation and general anesthesia, nutritional care, and outcomes between SPC and SSC. @entity1 and Methods   We included @entity1 with primary staged-silo reduction with a 1-year minimum follow-up. SPC was performed at bedside with sedation using a nonadherent dressing. SSC was performed in operating room under general anesthesia using standard surgical techniques. Results   This retrospective study included 64 @entity1 , 23 SPC and 41 SSC. The characteristics of the two groups were comparable. Mechanical ventilation was used for 15 SPC and 41 SSC (p   =   0.0001) with a comparable median duration (5.5 and 6.0 days, @entity10479 [ @entity10479 ]). General anesthesia was required for 9 SPC and 41 SSC (p   <   0.0001). Complications included one SPC and six SSC with @entity3166 , zero SPC and four SSC with @entity8593 , two SPC and four SSC with @entity1744 , zero SPC and one SSC with @entity8479 resulting in a @entity5277 ( @entity10479 ). Median duration of parenteral nutrition (30 and 27 days), time to first feeds (14 and 14 days), time at or above minimal enteral feeding (22 and 17 days), time to full feeds (31 and 28 days), length of stay (LOS) in neonatal intensive care unit (24 and 23.5 days) and overall hospital LOS (37 and 36 days) were not statistically different between SPC and SSC @entity1 without complications, respectively. These data were comparable for SPC and SSC @entity1 with complications. Five SPC and six SSC developed an @entity14147 ( @entity10479 ); two @entity1 in each group required a surgical repair ( @entity10479 ). Conclusion   Plastic closure of @entity6675 after primary silo reduction is simple, safe, reproducible, and associated with a significant lower incidence of mechanical ventilation. Nutritional management and length of hospital stay were similar to conventional surgical closure for @entity1 . Plastic closure allows nonoperative management without general anesthesia at @entity1 's bedside, in comparison with surgical closure that must be performed under general anesthesia in the operating room. Plastic closure does not appear to be associated with more @entity14147 in this retrospective study.

Secondary Plastic Closure of XXXX Is Associated with a Lower Incidence of Mechanical Ventilation.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity10479 :: ('MESH:D065309', 'Disease') :: ['not significant', 'NS'] @entity3166 :: ('MESH:D020345', 'Disease') :: ['necrotizing enterocolitis'] @entity14147 :: ('MESH:D006554', 'Disease') :: ['umbilical hernias', 'umbilical hernia'] @entity8479 :: ('MESH:D059325', 'Disease') :: ['abdominal compartment syndrome'] @entity6675 :: ('MESH:D020139', 'Disease') :: ['gastroschisis'] @entity5277 :: ('MESH:D012778', 'Disease') :: ['short bowel syndrome'] @entity1744 :: ('MESH:D043183', 'Disease') :: ['small bowel obstruction'] @entity8593 :: ('MESH:D007409', 'Disease') :: ['intestinal atresia']
@entity6675 :: (MESH:D020139,Disease) :: ['Gastroschisis']
