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Umbilical cord as temporary coverage in gastroschisis.

R Werbeck1, J Koltai

  • 1Department of Pediatric Surgery, Catholic Children's Hospital Wilhelmstift, Hamburg, Germany. R.Werbeck@kkh-wilhelmstift.de

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [Et Al] = Zeitschrift Fur Kinderchirurgie
|June 17, 2011
PubMed
Summary

This study shows that using the umbilical cord for staged reduction in giant gastroschisis is safe and effective. This method avoids complications and mortality, offering a readily available, autogenic material for treatment.

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Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Congenital abnormalities

Background:

  • Staged reduction is debated for gastroschisis management.
  • Various materials are used for bowel protection during staged reduction.
  • The umbilical cord is presented as a novel biomaterial for temporary coverage.

Purpose of the Study:

  • To evaluate the efficacy and safety of using the umbilical cord for staged reduction in gastroschisis.
  • To assess the umbilical cord as an autogenic material for temporary abdominal wall closure.

Main Methods:

  • Umbilical cord flap used for temporary coverage in irreducible gastroschisis.
  • Gravity and cord shrinkage facilitate gradual bowel reduction.
  • Fascial closure achieved after approximately 10 days.

Main Results:

  • 17 infants with giant gastroschisis treated successfully since 1991.
  • No complications, infections, necrotizing enterocolitis (NEC), or mortality observed.
  • Average hospital stay of 5 weeks; 3 cases had associated defects.

Conclusions:

  • Staged reduction is advantageous for giant gastroschisis.
  • Umbilical cord offers a safe, readily available autogenic material.
  • Low infection rates and ease of use are key benefits.