Staged reduction of gastroschisis: a simple method.
Staged reduction of abdominal contents using a silastic sheet has become standard management in gastroschisis where primary closure is not possible. With the introduction of a pre-made Silastic silo coupled to a spring-loaded ring (Ben Tec, Sacramento, CA), the procedure can be done at the bedside. We present a simple technique utilizing a disposable umbilical-cord clamp that makes reduction a fast, one-physician procedure and present a preoperative step that facilitates tension-free closure of the abdominal fascia.
Kidd
J N
JN
Department of Pediatric Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 800 Marshall Street, Little Rock, AR 72202-3501, USA.
Levy
M S
MS
Wagner
C W
CW
D004129:Dimethylpolysiloxanes; D005260:Female; D020139:Gastroschisis / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009779:Occlusive Dressings; D012086:Reoperation; D012828:Silicones; D013536:Suture Techniques / Q000295:instrumentation
D004129:Dimethylpolysiloxanes; D012828:Silicones; C013830:baysilon