Preservation of the umbilical cord attachment (UCA) in gastroschisis (GS) is still not routine practice. In a prospective series of 36 children with GS, it was always possible to preserve the UCA, even in those undergoing a temporary silo and delayed closure. Reconstruction by 'umbilical cord
We report on a patient who had a previous abdominoplasty with umbilical reconstruction. The patient presented one-year postoperatively with periumbilical cellulitis. This was felt to be due to a retained stitch, which when removed improved the patient's symptoms. However, a further recurrence
A simplified technique for the repair of gastroschisis without the need to excise the umbilicus or make a fascial incision has been developed. First, the abdominal wall is stretched and the viscera are reduced. Next, the skin and subcutaneous tissue are elevated from the fascia for 1.5 cm around the
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