GASTROSCHISIS MANAGEMENT WITH COLOSTOMY BAG. OSTOMY BAG. OSTOMY BAG. OSTOMY BAG. OSTOMY BAG. AN EARL AN EARL AN EARL AN

Objective: To determine the short term outcome of gastroschisis management by using colostomy bag and de-
layed primary repair approach.
Materials and Methods: Materials and Methods: Materials and Methods: Materials and Methods: Materials and Methods: This prospective descriptive study was conducted in the department of pediatric surgery
Postgraduate Medical institute Lady reading Hospital Peshawar from January 2010 to January 2012. A total of fifteen
babies with gastroschisis were admitted to the pediatric surgical unit Lady Reading hospital Peshawar after inclu-
sion and exclusion criteria. After initial intravenous line placement, resuscitation, nasogastric suction, intravenous
vitamin k and triple regimen antibiotics. Heat and water loss from exposed viscera were controlled by placing the
lower trunk and intestine in a plastic bag until commencement of placement of colostomy bag under general
anesthesia .A transparent colostomy bag were applied under general aneasthesia, by suturing with silk suture to the
anterior abdominal wall defect. Technique of gravitational and manual reduction of the gut done daily by tying
around the colostomy bag, and on 3rd post operative day under general aneasthesia by stretching of the anterior
abdominal wall along with partial closure by opsite dressing application and on 7th
post operative day complete
abdominal wall closure by abdominal wall stretching and enmasse closure of the defect by applying tension suture.
Post operatively all these patients were managed in the general ward because of lack pediatric intensive care unit
and pediatric ventilator facility. Survived Patients were followed in outpatient department on monthly basis, up to one
year of age for any complication.