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Single-center 10-year experience in the management of anterior abdominal wall defects

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Abstract

Background

Anterior abdominal wall defects can be managed with various techniques, since no one technique can be applied to all types of defects. The aim of this study is to present a single-center experience using biomaterials and evaluate the outcomes.

Methods

The clinical data obtained from 33 neonates (24 gastroschisis and 9 omphaloceles) managed for anterior abdominal wall defects at a single center from 1995 until 2005 were evaluated.

Results

Primary skin closure of the defect was possible in 22 (67%) cases; however, 4 of 22 (12%) required an inner patch. In seven (21%), two patches were employed. The grafts used were: seven (22%) Goretex, four (12%) dura and one (3%) bovine pericard.

Conclusion

In our single-center experience, both synthetic (Goretex patches) and natural biomaterials (dura and bovine patches) were found to be alternatives to manage these defects. The advantages and disadvantages of the alternatives are presented.

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References

  1. Alvarez SM, Burd RS (2007) Increasing prevalence of gastroschisis repairs in the United States: 1996–2003. J Pediatr Surg 42:943–946

    Article  PubMed  Google Scholar 

  2. Bauer JJ, Salky BA, Gelernt IM, Kreel I (1987) Repair of large abdominal wall defects with expanded polytetrafluoroethylene (PTFE). Ann Surg 206:765–769

    Article  PubMed  CAS  Google Scholar 

  3. Saxena AK, Hülskamp G, Schleef J, Schaarschmidt K, Harms E, Willital GH (2002) Gastroschisis: a 15-years, single-center experience. Pediatr Surg Int 18:420–424

    Article  PubMed  Google Scholar 

  4. Saxena AK, Willital GH (2002) Omphalocele: clinical review and surgical experience using dura patch grafts. Hernia 6:73–78

    Article  PubMed  CAS  Google Scholar 

  5. Martinez-Lage JF, Sola J, Pozs M, Esteban JA (1993) Pediatric Creutzfeld–Jacob disease: probable transmission by a dural graft. Childs Nerv Syst 9:9–242

    Google Scholar 

  6. Masullo C, Pocchiari M, Macchi G, Alema G, Piazza G, Panzera MA (1989) Transmission of Creutzfeld–Jacobs disease by dural cadaveric graft. J Neurosurg 71:954–955

    PubMed  CAS  Google Scholar 

  7. Stringel G (1993) Large gastroschisis: primary repair with Goretex patch. J Pediatr Surg 28:653–5

    Article  PubMed  CAS  Google Scholar 

  8. Weller U, Jorch G (1993) Aktuelle Perzentilenkurven für Körpergewicht, Körperlange und Kopfumfang von Neugeborenen ab 25. SSW. Monatsschr Kinderheilkd 141:665–669

    PubMed  CAS  Google Scholar 

  9. Bermejo E, Mendioroz J, Cuevas L, Martinez-Frias ML (2006) The incidence of gastroschisis: is also increasing in Spain, particularly among babies of young mothers. BMJ 18;332(7538):424

    Google Scholar 

  10. Kunz LH, Gilbert WM, Towner DR (2005) Increased incidence of cardiac anomalies in pregnancies complicated by gastroschisis. Am J Obstet Gynecol 193:1248–1252

    Article  PubMed  Google Scholar 

  11. Mahour GH, Weitzman JJ, Rosenkrantz JG (1973) Omphalocele and gastroschisis. Ann Surg 177:478–482

    Article  PubMed  Google Scholar 

  12. Moore TC, Stokes GE (1953) Gastroschisis. Surgery 33:112–115

    PubMed  CAS  Google Scholar 

  13. Meltzer A (1956) Huge omphalocele ruptured in utero. JAMA 160:656–661

    CAS  Google Scholar 

  14. Buchanon RW, Cain WL (1943) A case of complete omphalocele. Ann Surg 143:552–557

    Google Scholar 

  15. Kleinhaus S, Kaufer N, Boley SJ (1981) Partial hepatectomy in omphalocele repair. Surgery 64:484–490

    Google Scholar 

  16. Izant RJ, Brown F, Rothman BF (1966) Current embryology and treatment of gastroschisis and omphalocele. Arch Surg 93:49–58

    PubMed  Google Scholar 

  17. Firor HV (1975) Technical improvements in the management of gastroschisis and omphalocele. Surg Clin North Am 55:129–143

    PubMed  CAS  Google Scholar 

  18. Lafer DJ (1968) Rectus muscle transection for visceral replacement in gastroschisis. Surgery 63:988–990

    PubMed  CAS  Google Scholar 

  19. Chato LM, Schairer AE, Schmitz RL (1975) Staged repair of gastroschisis with an enteric fistula as a complication. IMJ 148:467–469

    PubMed  Google Scholar 

  20. Hofman-von Kapherr S, Emmrich P (1979) Causes of postoperative deaths in gastroschisis and omphalocele. Prog Pediatr Surg 13:63–70

    Google Scholar 

  21. Calisti A, Manzoni C, Pinjtus C, Nanni L, Perelli L, De Francisci G (1990) One-stage “forced” closure of large congenital defects of the abdominal wall with mechanical ventilation and curarization. Pediatr Med Chir 12:189–194

    PubMed  CAS  Google Scholar 

  22. Di Lorenzo M, Yazbeck S, Ducharme JC (1987) Gastroschisis. A 15-year experience. J Pediatr Surg 22:710–712

    Article  PubMed  CAS  Google Scholar 

  23. Canty TG, Collins DL (1983) Primary fascial closure in infants with gastroschisis and omphalocele: a superior approach. J Pediatr Surg 18:707–712

    Article  PubMed  CAS  Google Scholar 

  24. Sauter ER, Falterman KW, Arensman RM (1991) Is primary closure of gastroschisis and omphalocele always the best operation? Am Surg 57:142–144

    PubMed  CAS  Google Scholar 

  25. Aprahamian C, Wittman DH, Bergstein JM, Quebbeman EJ (1990) Temporary abdominal closure for planned relaparotomy in trauma. J Trama 30:719–723

    CAS  Google Scholar 

  26. Burch JM, Ortiz VB, Richardson RJ (1991) Abbreviated laparotomy and planned reoperation for critically injured patients. Ann Surg 215:476–484

    Article  Google Scholar 

  27. Olesevich M, Alexander F, Khan M, Cotman K (2005) Gastroschisis revisited: role of intraoperative measurement of abdominal pressure. J Pediatr Surg 40:789–792

    Article  PubMed  Google Scholar 

  28. Banieghbal B, Gouws M, Davies MRQ (2006) Respiratory pressure monitoring as an indirect method of intra-abdominal pressure measurement in gastroschisis closure. Eur J Pediatr Surg 16:79–83

    Article  PubMed  CAS  Google Scholar 

  29. van Tuil C, Saxena AK, Willital GH (2006) Experience with management of anterior abdominal wall defects using bovine pericard. Hernia 10:41–47

    Article  PubMed  Google Scholar 

  30. Saxena AK, van Tuil C (2007) Delayed three-stage closure of giant omphalocele using pericard patch. Hernia. doi:10.1007/s10029-007-0264-x

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Authors and Affiliations

  1. Department of Pediatric Surgery, Friedrich Schiller University, Erlanger Allee 101, 07747, Jena, Germany

    S. Rahn & M. Bahr

  2. Department of Pediatric Surgery, Medical University of Graz, Graz, Austria

    J. Schalamon & A. K. Saxena

Authors
  1. S. Rahn
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  2. M. Bahr
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  3. J. Schalamon
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  4. A. K. Saxena
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Correspondence to S. Rahn.

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Rahn, S., Bahr, M., Schalamon, J. et al. Single-center 10-year experience in the management of anterior abdominal wall defects. Hernia 12, 345–350 (2008). https://doi.org/10.1007/s10029-008-0336-6

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  • DOI: https://doi.org/10.1007/s10029-008-0336-6

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