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

Authors

  • Boma T Adikibi Department of Paediatric Surgery Royal Hospital for Sick Children Dalnair street Glasgow G3 8SJ
  • Stuart O'Toole Department of Paediatric Surgery Royal Hospital for Sick Children Dalnair street Glasgow G3 8SJ

DOI:

https://doi.org/10.47338/jns.v3.137

Keywords:

Gastroschisis, Closure, Gore-tex, Delayed infection

Abstract

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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Author Biographies

Boma T Adikibi, Department of Paediatric Surgery Royal Hospital for Sick Children Dalnair street Glasgow G3 8SJ

Department of Paediatric Surgery

Registrar

Stuart O'Toole, Department of Paediatric Surgery Royal Hospital for Sick Children Dalnair street Glasgow G3 8SJ

Department of Paediatric Surgery

Consultant

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Published

2014-10-10

How to Cite

1.
Adikibi BT, O’Toole S. Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?. J Neonatal Surg [Internet]. 2014Oct.10 [cited 2021Feb.25];3(4):J Neonat Surg. 2014; 3(4):47. Available from: https://jneonatalsurg.com/ojs/index.php/jns/article/view/137