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Journal Article
New Technique
2017
Overview
Gastroschisis and omphalocele are the most frequent congenital abdominal wall defects Described in the literature since the first century. It is occurring in 1 in 4000 live births. ETHICON PHYSIOMESH™ is Flexible Composite Mesh physiologically designed for repair of hernias and fascial defects. The mesh product is composed non absorbable, macro porous polypropalene mesh laminated between two polyglecaprone-25 films. An undyed polydioxanone film provides the boned between the polyglecaprone-25 film and polypropylene mesh. Patients with large congenital abdominal wall defects (>5cm) in omaphalocel while excess protrusion of the inta abdominal viscera in gastroschisis regard less the defect size were subjected to clinical examination and routine laboratory investigations. Between March 2008 to April 2013, 21 patients presented with abdominal wall defect, six patients were excluded from analysis due to the presence of other lethal anomalies and complications not related to the surgical treatment. Diagnoses in excluded patients included Great vessels anomalies (2), central nerves system male formation (1), intestinal perforations at the time of birth (1), associated coloacal anomalies (1), mid gut atresia (1). Fifteen cases were taken up for closure within 24 - 72 hours of presentation, 8 patient went primary repair with out mesh,7cases get primary repair with physiomesh. The use of physiomesh in the repair of the neonatal major abdominal wall defect is feasible less complication with acceptable coast farther study of more number of case and long term follow up.
Publisher
الأكاديمية العربية للعلوم الإنسانية والتطبيقية,Arab Institute for Scientific Research and Human Development
Subject
