Repair of gastroschisis using umbilical cord as a patch

Omphalocele associated with gastroschisis defect covered with skin

“…Arrested migration of the myotome will continue to grow by time and make defects lesser in diameter. Similar observations were seen in our patients treated with our method of reconstruction, which is performed without cutting margins for enlargement of the primary defect [7,8]. A further question is about the coexistence of gastroschisis and omphalocele.…”

Effectiveness of Wharton’s jelly stem cells in gastroschisis repair using the inner surface of the umbilical cord as a patch

“…This experiment showed clearly that 10 h after delivery the UC tissue was alive and capable of growing and developing. The umbilical patch produces 'in vivo' strong 'symphysis' with the defect and the wound [7,9], and restores the skin, subcutaneous adipose and connective tissue, which is visible later on high-frequency (HF) ultrasound.…”

“…Our method and operative technique were previously described in detail [7], although some elements were not mentioned. Reduction was performed without anesthesia and analgesia but with a nonpharmacological sedation [8,9].…”

“…Reduction was performed without anesthesia and analgesia but with a nonpharmacological sedation [8,9]. Manual stretching of the abdominal wall and defect allowed the reduction of the majority of eviscerated intestines.…”

“…The autogenous umbilical stump (US) is always at hand; the patch is nontoxic, nonantigenic and, above all, safe and gratis. In simple and in some complicated cases the umbilical patch with a sterile inner surface that contains Wharton's jelly (WJ) covering the defect and lying on the intestine gives satisfactory and in some cases even excellent results [7]. Enlargement of the defect and augmentation of the abdominal cavity may be very effective in managing some of the difficult gastroschisis cases.…”