title: [Use of a Gore-Tex patch in the primary repair of congenital defects of the anterior abdominal wall].
abstract: The surgical treatments for large omphaloceles and gastroschisis have to avoid a dangerous primary fascial closure when it's not feasible, so the pediatric surgeon can use staged surgical procedures that achieve a gradual increase in size of the abdominal cavity. Therefore, a staged approach is mandatory to avoid a complicated reduction and it's the best treatment for large congenital abdominal wall defects. Gore-Tex soft tissue is easy to handle, pliable, soft and well tolerated, so Gore-Tex patch closure is a safe and good alternative to staged repair in large omphaloceles and gastroschisis. The Authors report about five newborns with large congenital abdominal wall defects, in whom primary fascial closure could not be accomplished, so they were successfully treated by primary repair with Gore-Tex patch. The Authors also describe the surgical technique and they reconsider the last surgical techniques for large omphaloceles and gastroschisis.
authors.affiliation: Clinica Chirurgica II di Firenze, Italia.
authors.forename: F
authors.initials: F
authors.lastname: Pampaloni
authors.forename: A
authors.initials: A
authors.lastname: Pampaloni
authors.forename: B
authors.initials: B
authors.lastname: Noccioli
authors.forename: R
authors.initials: R
authors.lastname: Mattei
mesh_terms: D000009:Abdominal Muscles / Q000002:abnormalities* / Q000601:surgery; D005260:Female; D006554:Hernia, Umbilical / Q000000981:diagnostic imaging / Q000196:embryology* / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011138:Polytetrafluoroethylene; D011247:Pregnancy; D013524:Surgical Flaps; D016216:Ultrasonography, Prenatal
chemical_list: D011138:Polytetrafluoroethylene
vernacular_title: Impiego di patch di Gore-Tex nella riparazione primaria dei difetti congeniti della parete addominale anteriore.