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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Detalles Bibliográficos
Autores principales: T Adikibi, Boma, O'Toole, Stuart
Formato: Online Artículo Texto
Lenguaje:English
Publicado: EL-MED-Pub 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4420335/
https://www.ncbi.nlm.nih.gov/pubmed/26023518
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author T Adikibi, Boma
O'Toole, Stuart
author_facet T Adikibi, Boma
O'Toole, Stuart
author_sort T Adikibi, Boma
collection PubMed
description 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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spelling pubmed-44203352015-05-28 Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal? T Adikibi, Boma O'Toole, Stuart J Neonatal Surg Case Report 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. EL-MED-Pub 2014-10-20 /pmc/articles/PMC4420335/ /pubmed/26023518 Text en Copyright: © 2014 JNS http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
T Adikibi, Boma
O'Toole, Stuart
Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
title Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
title_full Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
title_fullStr Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
title_full_unstemmed Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
title_short Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
title_sort reverse tissue expansion in gastroschisis: what to do if the defect is too large to close after silo removal?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4420335/
https://www.ncbi.nlm.nih.gov/pubmed/26023518
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