Abdominal Wall Closure With a Silastic Patch After Repair of Congenital Diaphragmatic Hernia
HYPOTHESIS Newborns with congenital diaphragmatic hernia (CDH) have a high risk of mortality, ranging from 50% to 70%. Tensioned closure of the narrowed abdominal cavity is detrimental. PATIENTS AND METHODS Twelve high-risk newborns underwent operation for CDH. To achieve tension-free closure of the...
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| Veröffentlicht in: | Archives of surgery (Chicago. 1960) 2004-03, Vol.139 (3), p.296-298 |
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| creator | Kyzer, Shlomo Sirota, Lea Chaimoff, Chaim |
| description | HYPOTHESIS Newborns with congenital diaphragmatic hernia (CDH) have a high risk of mortality, ranging from 50% to 70%. Tensioned closure of the narrowed abdominal cavity is detrimental. PATIENTS AND METHODS Twelve high-risk newborns underwent operation for CDH. To achieve tension-free closure of the abdominal wall, a Silastic patch was used. The Silastic patch was sutured intermittently to the edges of the abdominal wall fascia with absorbable sutures and left open to the air. The skin was not closed above the Silastic patch, which was lubricated with 1% gentamicin sulfate ointment. RESULTS Eleven patients (91.6%) survived. No local or systemic septic complication occurred. The abdominal wall was gradually closed, and total closure was achieved within 4 to 6 weeks (mean, 4.9 weeks). CONCLUSION Because of the high survival rate and the complication-free rapid healing of the abdominal wall, the technique can be used in any case of CHD in which tension-free closure of the abdominal wall cannot be achieved by other methods.Arch Surg 2004;139:296-298--> |
| doi_str_mv | 10.1001/archsurg.139.3.296 |
| format | Article |
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Tensioned closure of the narrowed abdominal cavity is detrimental. PATIENTS AND METHODS Twelve high-risk newborns underwent operation for CDH. To achieve tension-free closure of the abdominal wall, a Silastic patch was used. The Silastic patch was sutured intermittently to the edges of the abdominal wall fascia with absorbable sutures and left open to the air. The skin was not closed above the Silastic patch, which was lubricated with 1% gentamicin sulfate ointment. RESULTS Eleven patients (91.6%) survived. No local or systemic septic complication occurred. The abdominal wall was gradually closed, and total closure was achieved within 4 to 6 weeks (mean, 4.9 weeks). CONCLUSION Because of the high survival rate and the complication-free rapid healing of the abdominal wall, the technique can be used in any case of CHD in which tension-free closure of the abdominal wall cannot be achieved by other methods.Arch Surg 2004;139:296-298--></description><identifier>ISSN: 0004-0010</identifier><identifier>ISSN: 2168-6254</identifier><identifier>EISSN: 1538-3644</identifier><identifier>EISSN: 2168-6262</identifier><identifier>DOI: 10.1001/archsurg.139.3.296</identifier><identifier>PMID: 15006887</identifier><identifier>CODEN: ARSUAX</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Abdominal Muscles - surgery ; Biological and medical sciences ; Dimethylpolysiloxanes ; Female ; General aspects ; Hernia, Diaphragmatic - surgery ; Hernias, Diaphragmatic, Congenital ; Humans ; Infant, Newborn ; Male ; Medical sciences ; Silicones ; Treatment Outcome ; Wound Healing - physiology</subject><ispartof>Archives of surgery (Chicago. 1960), 2004-03, Vol.139 (3), p.296-298</ispartof><rights>2004 INIST-CNRS</rights><rights>Copyright American Medical Association Mar 2004</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a375t-20b7fbd4a64a1a0658fc7ffea26ccf22256c1c83f89399dbd7524e8f4bed48093</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jamasurgery/articlepdf/10.1001/archsurg.139.3.296$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jamasurgery/fullarticle/10.1001/archsurg.139.3.296$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,780,784,3340,27924,27925,76489,76492</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15611157$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15006887$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kyzer, Shlomo</creatorcontrib><creatorcontrib>Sirota, Lea</creatorcontrib><creatorcontrib>Chaimoff, Chaim</creatorcontrib><title>Abdominal Wall Closure With a Silastic Patch After Repair of Congenital Diaphragmatic Hernia</title><title>Archives of surgery (Chicago. 1960)</title><addtitle>Arch Surg</addtitle><description>HYPOTHESIS Newborns with congenital diaphragmatic hernia (CDH) have a high risk of mortality, ranging from 50% to 70%. Tensioned closure of the narrowed abdominal cavity is detrimental. PATIENTS AND METHODS Twelve high-risk newborns underwent operation for CDH. To achieve tension-free closure of the abdominal wall, a Silastic patch was used. The Silastic patch was sutured intermittently to the edges of the abdominal wall fascia with absorbable sutures and left open to the air. The skin was not closed above the Silastic patch, which was lubricated with 1% gentamicin sulfate ointment. RESULTS Eleven patients (91.6%) survived. No local or systemic septic complication occurred. The abdominal wall was gradually closed, and total closure was achieved within 4 to 6 weeks (mean, 4.9 weeks). CONCLUSION Because of the high survival rate and the complication-free rapid healing of the abdominal wall, the technique can be used in any case of CHD in which tension-free closure of the abdominal wall cannot be achieved by other methods.Arch Surg 2004;139:296-298--></description><subject>Abdominal Muscles - surgery</subject><subject>Biological and medical sciences</subject><subject>Dimethylpolysiloxanes</subject><subject>Female</subject><subject>General aspects</subject><subject>Hernia, Diaphragmatic - surgery</subject><subject>Hernias, Diaphragmatic, Congenital</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Silicones</subject><subject>Treatment Outcome</subject><subject>Wound Healing - physiology</subject><issn>0004-0010</issn><issn>2168-6254</issn><issn>1538-3644</issn><issn>2168-6262</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0MtKAzEUBuAgitbLC7iQIOhuai5zySxLvYKgeKEbIZzJJG0kM1OTmYVvb0orFVcJ5PtPOD9Cp5SMKSH0CrxahMHPx5SXYz5mZb6DRjTjIuF5mu6iESEkTaIkB-gwhM94Y6Jk--iAZoTkQhQj9DGp6q6xLTg8A-fw1HVxpMYz2y8w4FfrIPRW4Wfo1QJPTK89ftFLsB53Bk-7dq5b28f0tYXlwsO8gRW_1761cIz2DLigTzbnEXq_vXmb3iePT3cP08ljArzI-oSRqjBVnUKeAgWSZ8KowhgNLFfKMMayXFEluBElL8u6qouMpVqYtNJ1KkjJj9Dleu7Sd1-DDr1sbFDaOWh1NwRZ0CIqRiI8_wc_u8HH5YNkPH7DSMEiYmukfBeC10YuvW3Af0tK5Kp4-Vu8jMVLLmPxMXS2mTxUja63kU3TEVxsAAQFznholQ1_XE4pzVbudO2gge0rJXy16A9fYpWX</recordid><startdate>20040301</startdate><enddate>20040301</enddate><creator>Kyzer, Shlomo</creator><creator>Sirota, Lea</creator><creator>Chaimoff, Chaim</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20040301</creationdate><title>Abdominal Wall Closure With a Silastic Patch After Repair of Congenital Diaphragmatic Hernia</title><author>Kyzer, Shlomo ; Sirota, Lea ; Chaimoff, Chaim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a375t-20b7fbd4a64a1a0658fc7ffea26ccf22256c1c83f89399dbd7524e8f4bed48093</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Abdominal Muscles - surgery</topic><topic>Biological and medical sciences</topic><topic>Dimethylpolysiloxanes</topic><topic>Female</topic><topic>General aspects</topic><topic>Hernia, Diaphragmatic - surgery</topic><topic>Hernias, Diaphragmatic, Congenital</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Silicones</topic><topic>Treatment Outcome</topic><topic>Wound Healing - physiology</topic><toplevel>online_resources</toplevel><creatorcontrib>Kyzer, Shlomo</creatorcontrib><creatorcontrib>Sirota, Lea</creatorcontrib><creatorcontrib>Chaimoff, Chaim</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of surgery (Chicago. 1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kyzer, Shlomo</au><au>Sirota, Lea</au><au>Chaimoff, Chaim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Abdominal Wall Closure With a Silastic Patch After Repair of Congenital Diaphragmatic Hernia</atitle><jtitle>Archives of surgery (Chicago. 1960)</jtitle><addtitle>Arch Surg</addtitle><date>2004-03-01</date><risdate>2004</risdate><volume>139</volume><issue>3</issue><spage>296</spage><epage>298</epage><pages>296-298</pages><issn>0004-0010</issn><issn>2168-6254</issn><eissn>1538-3644</eissn><eissn>2168-6262</eissn><coden>ARSUAX</coden><abstract>HYPOTHESIS Newborns with congenital diaphragmatic hernia (CDH) have a high risk of mortality, ranging from 50% to 70%. Tensioned closure of the narrowed abdominal cavity is detrimental. PATIENTS AND METHODS Twelve high-risk newborns underwent operation for CDH. To achieve tension-free closure of the abdominal wall, a Silastic patch was used. The Silastic patch was sutured intermittently to the edges of the abdominal wall fascia with absorbable sutures and left open to the air. The skin was not closed above the Silastic patch, which was lubricated with 1% gentamicin sulfate ointment. RESULTS Eleven patients (91.6%) survived. No local or systemic septic complication occurred. The abdominal wall was gradually closed, and total closure was achieved within 4 to 6 weeks (mean, 4.9 weeks). CONCLUSION Because of the high survival rate and the complication-free rapid healing of the abdominal wall, the technique can be used in any case of CHD in which tension-free closure of the abdominal wall cannot be achieved by other methods.Arch Surg 2004;139:296-298--></abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>15006887</pmid><doi>10.1001/archsurg.139.3.296</doi><tpages>3</tpages></addata></record> |
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| source | MEDLINE; American Medical Association Journals; Alma/SFX Local Collection |
| subjects | Abdominal Muscles - surgery Biological and medical sciences Dimethylpolysiloxanes Female General aspects Hernia, Diaphragmatic - surgery Hernias, Diaphragmatic, Congenital Humans Infant, Newborn Male Medical sciences Silicones Treatment Outcome Wound Healing - physiology |
| title | Abdominal Wall Closure With a Silastic Patch After Repair of Congenital Diaphragmatic Hernia |
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