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

Boma T Adikibi, Stuart O'Toole

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.


Keywords


Gastroschisis; Closure; Gore-tex; Delayed infection

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DOI: http://dx.doi.org/10.21699/jns.v3i4.179

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