One-Stage Functional End-To-End Anastomosis Followed by Sutureless Abdominal Wall Closure for Colonic Atresia With Gastroschisis

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  • Chiba Kosuke
    Department of Pediatric Surgery, Daido Hospital Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Tanaka Yujiro
    Department of Pediatric Surgery, Saitama Medical University
  • Shirota Chiyoe
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Tainaka Takahisa
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Sumida Wataru
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Yokota Kazuki
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Oshima Kazuo
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Makita Satoshi
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine
  • Uchida Hiroo
    Department of Pediatric Surgery, Nagoya University Graduate School of Medicine

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Other Title
  • 腹壁破裂を合併した結腸閉鎖症に対して，器械吻合による一期的結腸吻合後sutureless腹壁閉鎖を施行した1例
  • フクヘキ ハレツ オ ガッペイ シタ ケッチョウ ヘイサショウ ニ タイシテ,キカイ フンゴウ ニ ヨル イチゴテキ ケッチョウ フンゴウ ゴ sutureless フクヘキ ヘイサ オ シコウ シタ 1レイ

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Abstract

<p>The patient was a newborn female with colonic atresia and gastroschisis. A silo was placed immediately after birth and surgery was scheduled the following day. Adhesive detachment was performed by washing the intestinal tract with saline. The oral and anal segments of the colonic atresia were identified, and functional end-to-end anastomosis was performed. Severe edema precluded the immediate return of the intestines to the abdominal cavity and required ongoing treatment with a silo. The intestines gradually returned to the abdominal cavity during the following week. The abdominal wall was closed on postnatal day 9 by a sutureless method. The patient’s postoperative course was good, and full feeding was initiated on postnatal day 19. The patient was discharged from the hospital on postnatal day 32 and recovered without complications. In cases of gastroschisis with colonic atresia, a two-stage surgical procedure is commonly employed. However, functional end-to-end anastomosis using a linear stapler is also an effective method because anastomoses can be performed without regard to differences in intestinal caliber.</p>

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