Abstract
The degree of viscero-abdominal disproportion often makes single-stage reduction difficult in large abdominal wall defects, without risking respiratory or hemodynamic compromise. As a consequence, clinicians have adopted a number of different methods to control these defects. Repair may be in the neonatal period, or later in life. Delayed repairs require epithelialization of the gastroschisis or omphalocele. Definitive repair may be in single or multiple stages. This paper describes four children in whom negative pressure wound therapy (NPWT) was used to facilitate closure of these complex defects.
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The authors declare that they have no conflict of interest. No funding was sought or granted in the conduct of this study.
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This project has prior approval from the Children’s Health Services Queensland Human Research Ethics Committee and has therefore been conducted in concordance with the principles of the Declaration of Helsinki. Consent has been obtained from parents for inclusion of their children’s stories and images within this manuscript.
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McBride, C.A., Stockton, K., Storey, K. et al. Negative pressure wound therapy facilitates closure of large congenital abdominal wall defects. Pediatr Surg Int 30, 1163–1168 (2014). https://doi.org/10.1007/s00383-014-3545-3
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DOI: https://doi.org/10.1007/s00383-014-3545-3