Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system

Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left lon...
Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Ogasawara, Yuki [verfasserIn] Okazaki, Tadaharu [verfasserIn] Kato, Yoshifumi [verfasserIn] Lane, Geoffrey J. [verfasserIn] Yamataka, Atsuyuki [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2009

Schlagwörter:	Gastroschisis Wound retractor and protector Silo Primary reduction

Übergeordnetes Werk:	Enthalten in: Pediatric surgery international - Berlin : Springer, 1986, 25(2009), 11 vom: 25. Aug.
Übergeordnetes Werk:	volume:25 ; year:2009 ; number:11 ; day:25 ; month:08

Links:	Volltext

DOI / URN:	10.1007/s00383-009-2450-7

Katalog-ID:	SPR004709632

Internformat


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245	1	0	\|a Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
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520			\|a Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo.
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700	1		\|a Yamataka, Atsuyuki \|e verfasserin \|4 aut
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author_variant	y o yo t o to y k yk g j l gj gjl a y ay
matchkey_str	article:14379813:2009----::pnaeustrlscouefhadmnlaleetnatociiuigc
hierarchy_sort_str	2009
bklnumber	44.65 44.67
publishDate	2009
allfields	10.1007/s00383-009-2450-7 doi (DE-627)SPR004709632 (SPR)s00383-009-2450-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ogasawara, Yuki verfasserin aut Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo. Gastroschisis (dpeaa)DE-He213 Wound retractor and protector (dpeaa)DE-He213 Silo (dpeaa)DE-He213 Primary reduction (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Kato, Yoshifumi verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 25(2009), 11 vom: 25. Aug. (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:25 year:2009 number:11 day:25 month:08 https://dx.doi.org/10.1007/s00383-009-2450-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 25 2009 11 25 08
spelling	10.1007/s00383-009-2450-7 doi (DE-627)SPR004709632 (SPR)s00383-009-2450-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ogasawara, Yuki verfasserin aut Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo. Gastroschisis (dpeaa)DE-He213 Wound retractor and protector (dpeaa)DE-He213 Silo (dpeaa)DE-He213 Primary reduction (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Kato, Yoshifumi verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 25(2009), 11 vom: 25. Aug. (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:25 year:2009 number:11 day:25 month:08 https://dx.doi.org/10.1007/s00383-009-2450-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 25 2009 11 25 08
allfields_unstemmed	10.1007/s00383-009-2450-7 doi (DE-627)SPR004709632 (SPR)s00383-009-2450-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ogasawara, Yuki verfasserin aut Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo. Gastroschisis (dpeaa)DE-He213 Wound retractor and protector (dpeaa)DE-He213 Silo (dpeaa)DE-He213 Primary reduction (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Kato, Yoshifumi verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 25(2009), 11 vom: 25. Aug. (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:25 year:2009 number:11 day:25 month:08 https://dx.doi.org/10.1007/s00383-009-2450-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 25 2009 11 25 08
allfieldsGer	10.1007/s00383-009-2450-7 doi (DE-627)SPR004709632 (SPR)s00383-009-2450-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ogasawara, Yuki verfasserin aut Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo. Gastroschisis (dpeaa)DE-He213 Wound retractor and protector (dpeaa)DE-He213 Silo (dpeaa)DE-He213 Primary reduction (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Kato, Yoshifumi verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 25(2009), 11 vom: 25. Aug. (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:25 year:2009 number:11 day:25 month:08 https://dx.doi.org/10.1007/s00383-009-2450-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 25 2009 11 25 08
allfieldsSound	10.1007/s00383-009-2450-7 doi (DE-627)SPR004709632 (SPR)s00383-009-2450-7-e DE-627 ger DE-627 rakwb eng 610 ASE 44.65 bkl 44.67 bkl Ogasawara, Yuki verfasserin aut Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system 2009 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo. Gastroschisis (dpeaa)DE-He213 Wound retractor and protector (dpeaa)DE-He213 Silo (dpeaa)DE-He213 Primary reduction (dpeaa)DE-He213 Okazaki, Tadaharu verfasserin aut Kato, Yoshifumi verfasserin aut Lane, Geoffrey J. verfasserin aut Yamataka, Atsuyuki verfasserin aut Enthalten in Pediatric surgery international Berlin : Springer, 1986 25(2009), 11 vom: 25. Aug. (DE-627)254638937 (DE-600)1463010-2 1437-9813 nnns volume:25 year:2009 number:11 day:25 month:08 https://dx.doi.org/10.1007/s00383-009-2450-7 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2070 GBV_ILN_2086 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2116 GBV_ILN_2118 GBV_ILN_2119 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 44.65 ASE 44.67 ASE AR 25 2009 11 25 08
language	English
source	Enthalten in Pediatric surgery international 25(2009), 11 vom: 25. Aug. volume:25 year:2009 number:11 day:25 month:08
sourceStr	Enthalten in Pediatric surgery international 25(2009), 11 vom: 25. Aug. volume:25 year:2009 number:11 day:25 month:08
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Gastroschisis Wound retractor and protector Silo Primary reduction
dewey-raw	610
isfreeaccess_bool	false
container_title	Pediatric surgery international
authorswithroles_txt_mv	Ogasawara, Yuki @@aut@@ Okazaki, Tadaharu @@aut@@ Kato, Yoshifumi @@aut@@ Lane, Geoffrey J. @@aut@@ Yamataka, Atsuyuki @@aut@@
publishDateDaySort_date	2009-08-25T00:00:00Z
hierarchy_top_id	254638937
dewey-sort	3610
id	SPR004709632
language_de	englisch
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Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. 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author	Ogasawara, Yuki
spellingShingle	Ogasawara, Yuki ddc 610 bkl 44.65 bkl 44.67 misc Gastroschisis misc Wound retractor and protector misc Silo misc Primary reduction Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
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topic_title	610 ASE 44.65 bkl 44.67 bkl Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system Gastroschisis (dpeaa)DE-He213 Wound retractor and protector (dpeaa)DE-He213 Silo (dpeaa)DE-He213 Primary reduction (dpeaa)DE-He213
topic	ddc 610 bkl 44.65 bkl 44.67 misc Gastroschisis misc Wound retractor and protector misc Silo misc Primary reduction
topic_unstemmed	ddc 610 bkl 44.65 bkl 44.67 misc Gastroschisis misc Wound retractor and protector misc Silo misc Primary reduction
topic_browse	ddc 610 bkl 44.65 bkl 44.67 misc Gastroschisis misc Wound retractor and protector misc Silo misc Primary reduction
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title	Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
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title_full	Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
author_sort	Ogasawara, Yuki
journal	Pediatric surgery international
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author_browse	Ogasawara, Yuki Okazaki, Tadaharu Kato, Yoshifumi Lane, Geoffrey J. Yamataka, Atsuyuki
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title_sort	spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
title_auth	Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
abstract	Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo.
abstractGer	Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo.
abstract_unstemmed	Purpose We report our experience of using a commercial wound protector and retractor system to allow spontaneous sutureless closure of the abdominal wall defect in gastroschisis. Methods Following birth, eviscerated bowel is wrapped with polyethylene wrap, the umbilical cord is deliberately left long and kept moist, and the patient stabilized and transferred to the operating room. Then the Applied $ Alexis^{®} $ wound protector and retractor system (Applied Medical Resources Corp, USA) was used for reducing eviscerated bowel. Once all organs have been reduced, the wound protector and retractor system (WPAR) is removed and the abdominal wall defect covered with the umbilical cord without suturing. $ Tegaderm^{®} $ (3M Health Care, USA) is used as a film dressing and is removed once the umbilical cord becomes adhered. Results We have used this technique to treat seven neonates with gastroschisis between April 2006 and March 2009. In three, WPAR was used as a silo initially, and removed after 3–4 days, and in four, WPAR was used only until primary reduction was achieved and removed. The abdominal defect closed spontaneously in all cases with excellent cosmesis. There were no complications attributed to our technique. At the time of discharge, all patients had insignificant umbilical hernias which have all resolved spontaneously. Conclusion The cosmetic appearance of the abdomen is improved using our technique compared with primary closure involving suturing and a conventional silo.
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container_issue	11
title_short	Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system
url	https://dx.doi.org/10.1007/s00383-009-2450-7
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author2	Okazaki, Tadaharu Kato, Yoshifumi Lane, Geoffrey J. Yamataka, Atsuyuki
author2Str	Okazaki, Tadaharu Kato, Yoshifumi Lane, Geoffrey J. Yamataka, Atsuyuki
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doi_str	10.1007/s00383-009-2450-7
up_date	2024-07-04T02:17:21.081Z
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Spontaneous sutureless closure of the abdominal wall defect in gastroschisis using a commercial wound retractor system

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