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Gastroschisis reduction using "Applied Alexis", a wound protector and retractor
Junichi Kusafuka1, Atsuyuki Yamataka, Tadaharu Okazaki
1Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
Pediatric Surgery International
|September 30, 2005
Summary
An Applied Alexis wound protector and retractor (WPAR) served as an effective silo for gastroschisis reduction when the standard spring loaded silo (SLS) was unavailable. This novel approach facilitated successful organ reduction and defect closure.
Area of Science:
- Neonatal surgery
- Pediatric surgery
- Congenital anomalies
Background:
- Gastroschisis, a congenital defect, requires surgical intervention for eviscerated abdominal organs.
- Traditionally, a spring loaded silo (SLS) is used for staged reduction.
- The unavailability of SLS in Japan necessitated an alternative method.
Observation:
- An Applied Medical Resources Corp wound protector and retractor (WPAR) was adapted for use as a silo.
- A modified WPAR ring was inserted into the gastroschisis defect without suturing.
- The WPAR successfully contained and facilitated the staged reduction of eviscerated organs.
Findings:
- The modified WPAR served as a functional silo for gastroschisis reduction.
- Organ reduction and subsequent abdominal wall closure were achieved successfully.
- The procedure demonstrated a short operating time of 20 minutes.
Implications:
- The WPAR presents a viable and effective alternative silo for gastroschisis management.
- This method offers a solution in resource-limited settings or when standard equipment is unavailable.
- Successful application may improve outcomes for neonates with gastroschisis.