Wesson D E, Baesl T J
J Pediatr Surg. 1986 Sep;21(9):764-5. doi: 10.1016/s0022-3468(86)80361-x.
A simplified technique for the repair of gastroschisis without the need to excise the umbilicus or make a fascial incision has been developed. First, the abdominal wall is stretched and the viscera are reduced. Next, the skin and subcutaneous tissue are elevated from the fascia for 1.5 cm around the defect and the fascia is closed transversely with interrupted sutures. The skin is also closed transversely. The umbilical stump is left intact. Eight of nine consecutive patients with gastroschisis were able to undergo repair by this technique. The average hospital stay was 35.6 days. There were no cases of omphalitis or cellulitis of the abdominal wall, but one child has a small umbilical hernia. All have a near normal-appearing umbilicus. This simpler technique for the repair of gastroschisis is quicker and less traumatic, and gives a better cosmetic result than the conventional method.
已开发出一种用于修复腹裂的简化技术，无需切除脐部或进行筋膜切开。首先，拉伸腹壁并还纳内脏。接下来，在缺损周围将皮肤和皮下组织从筋膜上提起1.5厘米，并用间断缝线横向关闭筋膜。皮肤也横向缝合。脐残端保持完整。连续9例腹裂患者中有8例能够通过该技术进行修复。平均住院时间为35.6天。没有腹壁脐炎或蜂窝织炎的病例，但有一名儿童有小脐疝。所有人的脐部外观几乎正常。这种修复腹裂的更简单技术更快且创伤更小，与传统方法相比，美容效果更好。
