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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
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.
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.
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.