Sutureless Abdominal Closure in twin gastroschisis
Gastroschisis is the most common congenital abdominal wall defect and the incidence of gastroschisis is increasing globally. Twin gastroschisis remains an extremely rare phenomenon. We present a case of premature dizygotic twins with simple gastroschisis born at 33 weeks and 3 days gestation. Both t...
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doaj-d80ce79c4c9c40cba2181a27bebe51a42020-12-21T04:42:52ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662021-01-0164101714Sutureless Abdominal Closure in twin gastroschisisClara Zhu0Matthew Moront1Douglas Katz2Jacqueline English3Dorothy Gould4Matthew Boelig5Corresponding author.; Department of Surgery, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ, 08103, United StatesDepartment of Surgery, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ, 08103, United StatesDepartment of Surgery, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ, 08103, United StatesDepartment of Surgery, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ, 08103, United StatesDepartment of Surgery, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ, 08103, United StatesDepartment of Surgery, Cooper University Hospital, 3 Cooper Plaza, Camden, NJ, 08103, United StatesGastroschisis is the most common congenital abdominal wall defect and the incidence of gastroschisis is increasing globally. Twin gastroschisis remains an extremely rare phenomenon. We present a case of premature dizygotic twins with simple gastroschisis born at 33 weeks and 3 days gestation. Both twins underwent primary reduction and sutureless closure using the umbilical cord remnant. We describe our technique for sutureless closure and subsequent wound care management. Neither twin required general anesthesia, intubation, mechanical ventilation, or antibiotics as a direct result of their gastroschisis management, and both twins had swift progression to full oral feeds by day of life 25 and 29. They have both had good cosmetic results with small umbilical hernias. This case report highlights a rare twin pairing of a common congenital anomaly and underlines the benefits of the sutureless closure technique.http://www.sciencedirect.com/science/article/pii/S2213576620303481GastroschisisTwin gastroschisisDichorionic diamniotic twinsSutureless closure |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Clara Zhu Matthew Moront Douglas Katz Jacqueline English Dorothy Gould Matthew Boelig |
spellingShingle |
Clara Zhu Matthew Moront Douglas Katz Jacqueline English Dorothy Gould Matthew Boelig Sutureless Abdominal Closure in twin gastroschisis Journal of Pediatric Surgery Case Reports Gastroschisis Twin gastroschisis Dichorionic diamniotic twins Sutureless closure |
author_facet |
Clara Zhu Matthew Moront Douglas Katz Jacqueline English Dorothy Gould Matthew Boelig |
author_sort |
Clara Zhu |
title |
Sutureless Abdominal Closure in twin gastroschisis |
title_short |
Sutureless Abdominal Closure in twin gastroschisis |
title_full |
Sutureless Abdominal Closure in twin gastroschisis |
title_fullStr |
Sutureless Abdominal Closure in twin gastroschisis |
title_full_unstemmed |
Sutureless Abdominal Closure in twin gastroschisis |
title_sort |
sutureless abdominal closure in twin gastroschisis |
publisher |
Elsevier |
series |
Journal of Pediatric Surgery Case Reports |
issn |
2213-5766 |
publishDate |
2021-01-01 |
description |
Gastroschisis is the most common congenital abdominal wall defect and the incidence of gastroschisis is increasing globally. Twin gastroschisis remains an extremely rare phenomenon. We present a case of premature dizygotic twins with simple gastroschisis born at 33 weeks and 3 days gestation. Both twins underwent primary reduction and sutureless closure using the umbilical cord remnant. We describe our technique for sutureless closure and subsequent wound care management. Neither twin required general anesthesia, intubation, mechanical ventilation, or antibiotics as a direct result of their gastroschisis management, and both twins had swift progression to full oral feeds by day of life 25 and 29. They have both had good cosmetic results with small umbilical hernias. This case report highlights a rare twin pairing of a common congenital anomaly and underlines the benefits of the sutureless closure technique. |
topic |
Gastroschisis Twin gastroschisis Dichorionic diamniotic twins Sutureless closure |
url |
http://www.sciencedirect.com/science/article/pii/S2213576620303481 |
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