DOI: 10.36347/sjams.2019.v07i08.030

Pages: 2774-2778

The most commonly adopted method for management of large sized abdominal wall defects like gastroschisis is silo application that allows gradual reduction in size of the defect followed by delayed closure and subsequent ventral hernia repair. We compared this conventional technique to a novel technique of amnion flap cover in similar group of patients with large gastroschisis defects, not amenable to primary closure. In our experience, the amnion flap cover is a feasible method with better results compared to silo application as it provides a natural and more stable barrier to exposed viscera, allowing better adaptation and growth of abdominal domain to accommodate the exposed viscera.