scholarly journals Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?

2014 ◽  
Vol 3 (4) ◽  
Author(s):  
Boma T Adikibi ◽  
Stuart O'Toole
Keyword(s):  
Abdominal Wall Defect ◽  
Good Condition ◽  
Tissue Expansion ◽  
Fascial Closure ◽  
Skin Closure ◽  
Progressive Reduction ◽  
Purse String ◽  
Wall Defect ◽  
Female Baby ◽  
Successful Reduction

A female baby with an antenatal diagnosis of gastroschisis was transferred to our institution. The defect was large but the bowel was in good condition and a silo was placed. After successful reduction of the bowel the abdominal wall defect was too large to allow fascial or even skin closure. We utilised a Gore-tex patch with two prolene purse string sutures placed concentrically to enable the diameter of the patch to be sequentially reduced. This enabled gradual stretching of the tissues with a progressive reduction in the size of the defect. The patch was removed after 8 days and a delayed fascial closure was achieved.

Management of Laparotomy Wound Dehiscence

2007 ◽  
Vol 73 (12) ◽  
pp. 1224-1227 ◽  
Author(s):  
Daniel E. Abbott ◽  
Gregory A. Dumanian ◽  
Amy L. Halverson
Keyword(s):  
Primary Closure ◽  
Abdominal Wall Defect ◽  
Wound Dehiscence ◽  
High Rate ◽  
Fascial Closure ◽  
Wall Defect ◽  
Laparotomy Wound ◽  
Abdominal Wound Dehiscence ◽  
Successful Repair ◽  
Optimal Treatment Strategy

Many studies identify risk factors for dehiscence, but a paucity of data exist suggesting an optimal treatment strategy. This study examines repair of abdominal wound dehiscence, comparing closure and interposition of mesh. We conducted a retrospective review of 37 individuals who suffered a wound dehiscence after laparotomy. Outcomes of repairs with either primary closure or polyglactin mesh interposition were examined. Twenty-seven individuals underwent repair with primary closure. Twelve of these individuals suffered repeat wound dehiscence; 10 were treated with repeat fascial closure, 2 with polyglactin mesh interposition. Seven individuals initially underwent successful repair with polyglactin mesh interposition; all subsequently had their hernias repaired. Three patients had minor fascial separation managed nonoperatively. Primary closure is associated with a relatively high rate of recurrent wound dehiscence. Closure with polyglactin mesh interposition has a higher initial success rate, but necessitates additional surgeries for repair of the abdominal wall defect.

scholarly journals Laparoscopic fundoplication for a case of esophageal hiatal hernia after gastroschisis repair

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
Ryuichiro Hirose ◽  
Satoshi Obata ◽  
Manabu Tojigamori ◽  
Masatoshi Nakamura ◽  
Shohei Taguchi ◽  
...  
Keyword(s):  
Gastroesophageal Reflux ◽  
Hiatal Hernia ◽  
Laparoscopic Fundoplication ◽  
Abdominal Wall Defect ◽  
Male Infant ◽  
Fascial Closure ◽  
Wall Defect ◽  
Esophageal Hiatal Hernia ◽  
Frequent Vomiting ◽  
Laparoscopic Nissen

Abstract Background Esophageal hiatal hernia and gastroesophageal reflux have been recognized as inevitable complications after the definitive gastroschisis operation. Patients with refractory gastroesophageal reflux require anti-reflux surgery; however, the surgical adhesions may complicate subsequent surgical therapy, especially in the cases treated by staged repair. Case presentation A male infant who showed a severe gastroesophageal reflux due to hiatal hernia after staged abdominal fascial closure of gastroschisis. In spite of continuous conservative management, frequent vomiting and hematemesis had become progressively worse at the age of 8 months. Laparoscopic Nissen fundoplication was attempted and completed with no adverse events. Conclusions Laparoscopic fundoplication may be applied, as a first-line approach, for the treatment of gastroesophageal reflux in this difficult group of patients, after the repair of congenital abdominal wall defect.

Closed Gastroschisis: A Rare Abdominal Wall Defect

2021 ◽  
pp. 000313482110298
Author(s):  
Hannah Cockrell ◽  
Taylor Shaw ◽  
Michael W. Morris
Keyword(s):  
Prenatal Diagnosis ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Intestinal Atresia ◽  
Bowel Ischemia ◽  
Fascial Closure ◽  
Fascial Defect ◽  
Wall Defect ◽  
Emergent Operation ◽  
The Right

Gastroschisis is a rare congenital abdominal wall defect characterized by intestinal evisceration to the right of the umbilical stalk. In less than 6% of cases, the fascial defect closes around the herniated viscera in utero. The mechanism of fascial closure in these cases is unknown; however, the tourniquet effect on the mesenteric vasculature is thought to lead to intestinal atresia and midgut infarction. We report a case of a female neonate with a prenatal diagnosis of gastroschisis who was found to have a closed defect at the time of delivery. She required emergent operation for symptoms of intestinal obstruction and bowel ischemia.

Bio‐Multifunctional Hydrogel Patches for Repairing Full‐Thickness Abdominal Wall Defect

2021 ◽  
pp. 2105614
Author(s):  
Xiangyi Yin ◽  
Yuanping Hao ◽  
Yun Lu ◽  
Dongjie Zhang ◽  
Yaodong Zhao ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Full Thickness ◽  
Wall Defect

Prenatal Diagnosis of a Fetal Abdominal Eventration: A Rare Congenital Abdominal Wall Defect

2007 ◽  
Vol 23 (2) ◽  
pp. 117-120
Author(s):  
Philippe Roth ◽  
Alain Martin ◽  
Fariz Bawab ◽  
Florence Fellmann ◽  
Didier Aubert ◽  
...  
Keyword(s):  
Prenatal Diagnosis ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Wall Defect

A Newborn Who Has an Abdominal Wall Defect

NeoReviews ◽  
2005 ◽  
Vol 6 (3) ◽  
pp. e160-e163
Author(s):  
Valerie Chock
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Wall Defect

Evaluation of TiNi-based wire mesh implant for abdominal wall defect management

2018 ◽  
Vol 4 (2) ◽  
pp. 027010 ◽  
Author(s):  
Dmytro Zaworonkow ◽  
Mykola Chekan ◽  
Katarzyna Kusnierz ◽  
Andrzej Lekstan ◽  
Aniela Grajoszek ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Wire Mesh ◽  
Wall Defect ◽  
Defect Management ◽  
Mesh Implant

scholarly journals Managing a Colonoscopic Perforation in a Patient with No Abdominal Wall

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Jayan George ◽  
Michael Peirson ◽  
Samuel Birks ◽  
Paul Skinner
Keyword(s):  
Abdominal Pain ◽  
Incisional Hernia ◽  
Plastic Surgery ◽  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Colonic Perforation ◽  
Conservative Approach ◽  
Wall Defect ◽  
Surgical History ◽  
History Of

We describe the case of a 37-year-old gentleman with Crohn’s disease and a complex surgical history including a giant incisional hernia with no abdominal wall. He presented on a Sunday to the general surgical on-call with a four-day history of generalised abdominal pain, nausea, and decreased stoma output following colonoscopy. After CT imaging, he was diagnosed with a large colonic perforation. Initially, he was worked up for theatre but following early senior input, a conservative approach with antibiotics was adopted. The patient improved significantly and is currently awaiting plastic surgery input for the management of his abdominal wall defect.

scholarly journals Left Ventricle Diverticulum with Partial Cantrell's Syndrome

2012 ◽  
Vol 2012 ◽  
pp. 1-3
Author(s):  
Mustapha El Kouache ◽  
S. Labib ◽  
A. El Madi ◽  
A. Babakhoya ◽  
S. Atmani ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Wall Defect ◽  
Left Ventricular ◽  
Diaphragmatic Defect ◽  
Wall Defect ◽  
Good Clinical Condition ◽  
Situs Solitus ◽  
Left Ventricular Diverticulum ◽  
Upper Abdominal ◽  
Normal Cardiac Function

Cantrell syndrome is a very rare congenital disease associating five features: a midline, upper abdominal wall disorder, lower sternal abnormality, anterior diaphragmatic defect, diaphragmatic pericardial abnormality, and congenital abnormalities of the heart. In this paper, we report a case of partial Cantrell's syndrome with left ventricular diverticulum, triatrial situs solitus, ventricular septal defect, dextrorotation of the heart, an anterior pericardial diaphragmatic defect, and a midline supraumbilical abdominal wall defect with umbilical hernia. The 5-month-old patient underwent a successful cardiac surgical procedure. A PTFE membrane was placed on the apex of the heart to facilitate reopening of the patient’s chest. Postoperative course was uneventful. The patient was discharged with good clinical condition and with a normal cardiac function.

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