Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?

نویسندگان

  • Boma T Adikibi
  • Stuart O'Toole
چکیده

A female baby with an antenatal diagnosis of gastroschisis was transferred to our institution. The defect was large but the bowel was in good condition and a silo was placed. After successful reduction of the bowel the abdominal wall defect was too large to allow fascial or even skin closure. We utilised a Gore-tex patch with two prolene purse string sutures placed concentrically to enable the diameter of the patch to be sequentially reduced. This enabled gradual stretching of the tissues with a progressive reduction in the size of the defect. The patch was removed after 8 days and a delayed fascial closure was achieved.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?

A female baby with an antenatal diagnosis of gastroschisis was transferred to our institution. The defect was large but the bowel was in good condition and a silo was placed. After successful reduction of the bowel the abdominal wall defect was too large to allow fascial or even skin closure. We utilised a Gore-tex patch with two prolene purse string sutures placed concentrically to enable the ...

متن کامل

Where There Is No Paediatric Surgeon!

Case 1: A female baby weighing 3 kg referred from a small town near Afghanistan border, after providing initial surgical care for gastroschisis. In privately owned vehicle it takes more than 36 hours to reach our facility from the hospital, where patient was managed initially. The baby was delivered with no antenatal workup. Following birth the patient was immediately transferred to the militar...

متن کامل

Repair of cloacal exstrophy, omphalocele, and gastroschisis using porcine small-intestinal submucosa or cadaveric skin homograft.

The traditional surgical methods typically used to repair the abdominal wall defect present in cloacal exstrophy, omphalocele, and gastroschisis during the neonatal period include definitive primary muscle, fascia, and skin closure, primary skin closure only with late ventral hernia repair, and a staged closure using a silo. The method chosen usually depends on the extent of visceral edema, the...

متن کامل

Synchronous Soleus and Reverse Sural Flap for Large Soft Tissue Defect Reconstruction of Leg

BACKGROUND Extended Soft tissue defect of leg including middle and distal parts always has been a challenge for many plastic surgeons and also a frustrated problem for patients and families. To introduce the use of the soleus muscle and reverse sural flaps as synchronous surgical treatment alternative of the leg bone exposure with large soft tissue defect, this study was conducted. METHODS T...

متن کامل

An Unusual Case of Gastroschisis

Gastroschisis is an abdominal wall defect through which intestine and rarely other organs eviscerate. It is less frequently associated with anorectal malformations. Abnormal size and shape of the defect is rarely identified in these patients. We report a case of gastroschisis with an unusual abdominal wall defect, imperforate anus and an ectopically placed vestibule. The defect was extended fro...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 3  شماره 

صفحات  -

تاریخ انتشار 2014