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Gastroschisis Repair Technique using Autologous Umbilical Cord Flap in a Resource Limited Setup: Case Series |
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| Correspondence
Address : Jitendra Grover, E 206, DB City, Gwalior, Madhya Pradesh, India. E-mail: jitendra.grover2@gmail.com |
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| The commonly used surgical methods of gastroschisis repair are operative fascial closure (primary closure), silo application (staged closure), or sutureless closure technique, adapted according to a different scenario. This case series presents an initial experience of gastroschisis repair method with an under-reported surgical technique that can be adapted for the repair of gastroschisis in a resource-limited setup. The umbilical flap cover is a reasonable method, seems to have favourable results that can render an autograft like covering to exposed visceral organs. This method does not increase the intra-abdominal pressure and also providing a better compliant environment for the growth of the abdominal space. Eight cases have been managed with this technique during the last 4 to 5 years, out of which seven are under follow-up, with age ranging from two months to four years. Umbilical flap harvested from the native umbilical cord is a readily available autologous tissue with an abundance of Wharton’s jelly and stem cells. | ||||||
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