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Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients

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Název: Use of a new vertical traction device for early traction-assisted staged closure of congenital abdominal wall defects: a prospective series of 16 patients
Autoři: Ziegler, Anna-Maria, Svoboda, Daniel, Lüken-Darius, Britta, Heydweiller, Andreas, Kahl, Fritz, Falk, Sophie Christine, Rolle, Udo, Theilen, Till-Martin
Přispěvatelé: Ziegler, Anna-Maria, Svoboda, Daniel, Lüken-Darius, Britta, Heydweiller, Andreas, Kahl, Fritz, Falk, Sophie Christine, Rolle, Udo, Theilen, Till-Martin
Zdroj: Pediatr Surg Int
Informace o vydavateli: Springer Science and Business Media LLC, 2024.
Rok vydání: 2024
Témata: Gastroschisis, Male, Abdominal Wall, Infant, Newborn, Infant, Abdominal Wound Closure Techniques, 3. Good health, Abdominal Wall/surgery [MeSH], Infant, Newborn [MeSH], Female [MeSH], Gastroschisis/surgery [MeSH], Primary closure, Humans [MeSH], Prospective Studies [MeSH], Giant omphalocele, Hernia, Umbilical/surgery [MeSH], Treatment Outcome [MeSH], Viscero-abdominal disproportion, Fascial traction, Original Article, Infant [MeSH], Male [MeSH], Abdominal Wound Closure Techniques/instrumentation [MeSH], Traction/instrumentation [MeSH], Traction/methods [MeSH], 03 medical and health sciences, Treatment Outcome, 0302 clinical medicine, Traction, Humans, Female, Prospective Studies, Hernia, Umbilical
Popis: Purpose Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gastroschisis (GS) remains to be a surgical challenge. To facilitate an early complete abdominal wall closure, we investigated the combination of a staged closure technique with continuous traction to the abdominal wall using a newly designed vertical traction device for newborns. Methods Four tertiary pediatric surgery departments participated in the study between 04/2022 and 11/2023. In case primary organ reduction and abdominal wall closure were not amenable, patients underwent a traction-assisted abdominal wall closure applying fasciotens®Pediatric. Outcome parameters were time to closure, surgical complications, infections, and hernia formation. Results Ten patients with GOC and 6 patients with GS were included. Complete fascial closure was achieved after a median time of 7 days (range 4–22) in GOC and 5 days (range 4–11) in GS. There were two cases of tear-outs of traction sutures and one skin suture line dehiscence after fascial closure. No surgical site infection or signs of abdominal compartment syndrome were seen. No ventral or umbilical hernia occurred after a median follow-up of 12 months (range 4–22). Conclusion Traction-assisted staged closure using fasciotens®Pediatric enabled an early tension-less fascial closure in GOC and GS in the newborn period.
Druh dokumentu: Article
Other literature type
Jazyk: English
ISSN: 1437-9813
DOI: 10.1007/s00383-024-05745-6
DOI: 10.21203/rs.3.rs-4031986/v1
Přístupová URL adresa: https://pubmed.ncbi.nlm.nih.gov/38960901
https://resolver.sub.uni-goettingen.de/purl?gro-2/145286
https://repository.publisso.de/resource/frl:6492685
Rights: CC BY
Přístupové číslo: edsair.doi.dedup.....b5799789e531e2797eff3bd52ea9a1c2
Databáze: OpenAIRE
Popis
Abstrakt:Purpose Abdominal wall closure in patients with giant omphalocele (GOC) and complicated gastroschisis (GS) remains to be a surgical challenge. To facilitate an early complete abdominal wall closure, we investigated the combination of a staged closure technique with continuous traction to the abdominal wall using a newly designed vertical traction device for newborns. Methods Four tertiary pediatric surgery departments participated in the study between 04/2022 and 11/2023. In case primary organ reduction and abdominal wall closure were not amenable, patients underwent a traction-assisted abdominal wall closure applying fasciotens®Pediatric. Outcome parameters were time to closure, surgical complications, infections, and hernia formation. Results Ten patients with GOC and 6 patients with GS were included. Complete fascial closure was achieved after a median time of 7 days (range 4–22) in GOC and 5 days (range 4–11) in GS. There were two cases of tear-outs of traction sutures and one skin suture line dehiscence after fascial closure. No surgical site infection or signs of abdominal compartment syndrome were seen. No ventral or umbilical hernia occurred after a median follow-up of 12 months (range 4–22). Conclusion Traction-assisted staged closure using fasciotens®Pediatric enabled an early tension-less fascial closure in GOC and GS in the newborn period.
ISSN:14379813
DOI:10.1007/s00383-024-05745-6