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Large gastroschisis: primary repair with Gore-Tex patch

G Stringel1

  • 1Department of Surgery, SUNY Stony Brook, Health Science Center 11794-8191.

Journal of Pediatric Surgery
|May 1, 1993
PubMed
Summary

Large gastroschisis in newborns can be treated with Gore-Tex patch closure when primary repair is not possible. This method offers a safe and effective alternative for large abdominal wall defects.

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Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Surgical materials science

Background:

  • Gastroschisis is a congenital abdominal wall defect.
  • Large defects pose challenges for primary surgical repair.
  • Limited options exist when primary fascial closure is not feasible.

Purpose of the Study:

  • To evaluate the efficacy of Gore-Tex patch closure for large gastroschisis.
  • To assess the safety and feasibility of this technique in newborns.

Main Methods:

  • Case report of four newborns with large gastroschisis.
  • Primary repair using Gore-Tex patch for abdominal wall closure.
  • Postoperative monitoring for complications.

Main Results:

  • Successful primary repair was achieved in all four cases using Gore-Tex patches.
  • No immediate complications related to the patch were reported.
  • The technique facilitated closure of large abdominal wall defects.

Conclusions:

  • Gore-Tex patch closure is a safe and effective alternative for large gastroschisis.
  • This method is a viable option when primary fascial repair is not feasible in neonates.
  • It addresses challenges associated with large abdominal wall defects in newborns.

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