title: Reverse Tissue Expansion in Gastroschisis: What to do if the Defect is too large to close after Silo Removal?
abstract: 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.
authors.affiliation: Department of Paediatric Surgery, Royal Hospital for Sick Children, Dalnair street Glasgow, G3 8SJ, UK.
authors.forename: Boma
authors.initials: B
authors.lastname: T Adikibi
authors.affiliation: Department of Paediatric Surgery, Royal Hospital for Sick Children, Dalnair street Glasgow, G3 8SJ, UK.
authors.forename: Stuart
authors.initials: S
authors.lastname: O'Toole
keywords: Closure; Delayed infection; Gastroschisis; Gore-tex