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Pediatr Surg Int. 2001 Mar;17(2-3):242-4.

Staged reduction of gastroschisis: a simple method.

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Department of Pediatric Surgery, Arkansas Children's Hospital, University of Arkansas for Medical Sciences, 800 Marshall Street, Little Rock, AR 72202-3501, USA.


Staged reduction of abdominal contents using a silastic sheet has become standard management in gastroschisis where primary closure is not possible. With the introduction of a pre-made Silastic silo coupled to a spring-loaded ring (Ben Tec, Sacramento, CA), the procedure can be done at the bedside. We present a simple technique utilizing a disposable umbilical-cord clamp that makes reduction a fast, one-physician procedure and present a preoperative step that facilitates tension-free closure of the abdominal fascia.

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