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Related Experiment Videos

Staged reduction of gastroschisis: a simple method.

J N Kidd1, M S Levy, C W Wagner

  • 1Department of Pediatric Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 800 Marshall Street, Little Rock, AR 72202-3501, USA.

Pediatric Surgery International
|April 24, 2001
PubMed
Summary

A novel technique using an umbilical-cord clamp simplifies staged reduction for gastroschisis, enabling bedside management. This method facilitates faster, single-physician procedures and tension-free abdominal closure.

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Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Congenital abnormalities

Background:

  • Gastroschisis management often requires staged reduction of abdominal contents when primary closure is not feasible.
  • Pre-made Silastic silos with spring-loaded rings facilitate bedside procedures for gastroschisis.

Purpose of the Study:

  • To present a simplified, fast, and single-physician technique for staged reduction in gastroschisis using a disposable umbilical-cord clamp.
  • To describe a preoperative step that aids in achieving tension-free abdominal fascial closure.

Main Methods:

  • Utilizing a disposable umbilical-cord clamp for staged reduction of abdominal contents in gastroschisis.
  • Employing a pre-made Silastic silo coupled to a spring-loaded ring for bedside management.
  • Implementing a specific preoperative step to facilitate tension-free fascial closure.

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Main Results:

  • The described technique allows for rapid, one-physician reduction of gastroschisis contents.
  • The method is compatible with bedside management using pre-made Silastic silos.
  • A preoperative step was introduced to ensure tension-free abdominal fascial closure.

Conclusions:

  • A disposable umbilical-cord clamp offers a simple and efficient method for staged gastroschisis reduction.
  • This technique streamlines bedside management and facilitates tension-free abdominal closure in neonates with gastroschisis.