Primary Closure of Gastroschisis

Denmark, Steven M.

doi:10.1001/archsurg.1983.01390010052012

Cited by 21 publications

(4 citation statements)

References 10 publications

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“…The first primary fascial closure of gastroschisis was reported in 1913. 15 Since then, it has been the first approach for gastroschisis in most centers. It offers an early reduction of the intestine into the abdomen and closure of the defect.…”

Section: Types Of Surgical Procedures In Gastroschisismentioning

confidence: 99%

“…However, the viscero-abdominal disproportion does not allow primary fascial closure in all patients. 8,[13][14][15] Some centers monitor intravesical and/or intra-gastric pressure to determine the possibility of primary fascial closure. 16,17 Modifications of primary closure technique: Several surgical approaches have been described to reduce postoperative intraabdominal pressure and the need for mechanical ventilation.…”

Section: Types Of Surgical Procedures In Gastroschisismentioning

confidence: 99%

“…These bags are transparent and allow inspection of the gut for possible necrosis and perforation. 8,15,23,24 Modifications of staged closure technique: Unfortunately, the preformed silo is expensive and unavailable in low-and middle-income countries (LMICs). However, several improvised silo techniques are currently in use in these countries.…”

Section: Types Of Surgical Procedures In Gastroschisismentioning

confidence: 99%

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Role of Surgery in the Outcome Difference of Gastroschisis between High-income and Lowmiddle- income Countries: A Review

Hasan,

Rahman

2023

Dhaka Shishu (Child) Hosp. J.

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Gastroschisis is a major congenital abdominal wall defect where the abdominal viscera comes out through a gap right to the umbilicus. The management of gastroschisis requires prompt and aggressive medical and surgical intervention immediately after birth. However, there is a notable disparity in mortality rates between developed countries and LMICs. Despite various surgical technique adjustments, LMICs still suffer from a high mortality rate, with certain centers reporting a 100% mortality rate. This article seeks to examine the literature and evaluate the impact of surgical techniques on the outcome of gastroschisis. DS (Child) H J 2022; 38(2): 103-106

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Section: Types Of Surgical Procedures In Gastroschisismentioning

confidence: 99%

Section: Types Of Surgical Procedures In Gastroschisismentioning

confidence: 99%

Section: Types Of Surgical Procedures In Gastroschisismentioning

confidence: 99%

See 1 more Smart Citation

Role of Surgery in the Outcome Difference of Gastroschisis between High-income and Lowmiddle- income Countries: A Review

Hasan,

Rahman

2023

Dhaka Shishu (Child) Hosp. J.

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“…The rationale for using botulinum toxin A for abdominal muscle paralysis in hernia reconstruction dates back to the seminal work of Denmark and Georgeson, 1 in 1983, who reported the successful closure of a gastroschisis in 17 patients using nondepolarizing neuromuscular blocking agents. These clinicians suggested at that time that this approach helped to avoid complications associated with increased intraabdominal pressure.…”

mentioning

confidence: 99%

Effects of Botulinum Toxin A on an Incisional Hernia Reconstruction in a Rat Model

Kwon

Kim

2021

Plastic &Amp; Reconstructive Surgery

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Background: Although the effects of botulinum toxin A on hernia reconstruction have been consistently reported, few studies provide objective evidence. The authors aimed to compare the effects of chemical component separation with those of mechanical component separation, and with a combination of chemical and mechanical component separation, in a rat hernia model. Methods: Rats were divided into four groups: 1, control; 2, chemical component separation; 3, mechanical component separation; and 4, chemical and mechanical component separation. Four weeks after hernia induction, botulinum toxin A was injected into groups 2 and 4. Hernia repair was performed 2 weeks after chemical component separation when mechanical component separation was performed in groups 3 and 4. Pretreatment and posttreatment defect sizes, traction forces, intraabdominal pressure, and hernia recurrences were analyzed. Results: The defect size was significantly decreased in groups 2 and 4 after chemical component separation. The traction force was significantly smaller in groups 2 and 3 compared with the control group, and the effects of chemical and mechanical component separation were additive. The mean intraabdominal pressure was 16.83 mmHg in group 1, 10.67 mmHg in group 2, 10.17 mmHg in group 3, and 9.67 mmHg in group 4, thus showing significant reductions following chemical and mechanical component separation. Recurrence was observed in all six animals (100 percent) in groups 1 and 3, but in only one of six (17 percent) in groups 2 and 4. Conclusions: Preoperative botulinum toxin A significantly reduces hernia size (by 30 percent) and the traction force required to medialize the rectus abdominis. After hernia repair, chemical component separation decreases the intraabdominal pressure to a similar degree as mechanical component separation, but only chemical component separation appears to reduce hernia recurrence. (Plast.

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The Abdominal Wall in Infants and Children

Juskiéwenski¹,

Galinier²

1998

Hernias and Surgery of the Abdominal Wall

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Primary Closure of Gastroschisis

Cited by 21 publications

References 10 publications

Role of Surgery in the Outcome Difference of Gastroschisis between High-income and Lowmiddle- income Countries: A Review

Role of Surgery in the Outcome Difference of Gastroschisis between High-income and Lowmiddle- income Countries: A Review

Effects of Botulinum Toxin A on an Incisional Hernia Reconstruction in a Rat Model

The Abdominal Wall in Infants and Children

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