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 uti...
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| Main Authors: | , |
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| Format: | Book |
| Published: |
EL-Med-Pub,
2014-10-01T00:00:00Z.
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| Online Access: | Connect to this object online. |
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| Summary: | 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. |
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| Item Description: | 10.21699/jns.v3i4.179 2226-0439 |