Thompson J, Fonkalsrud E W
Arch Surg. 1976 Jun;111(6):684-7. doi: 10.1001/archsurg.1976.01360240064011.
During the past 11 years, 18 infants with gastroschisis abdominal wall defects have undergone surgical repair at the UCLA Hospital. Sixteen infants had skin flap closure in infancy. A gastrostomy was performed on all infants, and peripheral intravenous hyperalimentation was used in 14 of the 18 infants. Sixteen of the 18 infants (89%) lived more than one year after surgical repair. Of these, 12 have undergone second-stage closure of the ventral hernia. Operative repair was greatly facilitated by forceful stretching of the abdominal musculature and milking of the bowel contents proximally into the stomach and distally out through the anus. The low morbidity and mortality of gastroschisis repair by primary skin closure, supplemented by intravensou hyperalimentation with late secondary ventral hernia repair, appear to justify continued use of this technique. Prosthetic materials probably should be reserved for reconstructing more complex abdominal wall defects.
在过去11年中，18例患有腹裂腹壁缺损的婴儿在加州大学洛杉矶分校医院接受了手术修复。16例婴儿在婴儿期进行了皮瓣闭合术。所有婴儿均进行了胃造口术，18例婴儿中有14例使用了外周静脉高营养。18例婴儿中有16例（89%）在手术修复后存活超过一年。其中，12例接受了腹疝二期闭合术。通过强力拉伸腹部肌肉组织以及将肠内容物向近端挤入胃内并向远端经肛门挤出，手术修复得到了极大的便利。通过一期皮肤闭合进行腹裂修复，并辅以静脉高营养及晚期腹疝二期修复，其低发病率和死亡率似乎证明继续使用该技术是合理的。假体材料可能应保留用于重建更复杂的腹壁缺损。
