Giant Omphalocele: What's the Way to Go?

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Giant Omphalocele: What’s the Way to Go?

Omphalocele is a known congenital anomaly consisting with a periumbilical abdominal wall defect determining the herniation of viscera into a sac made up of peritoneum, Wharton’s jelly and amnios. When the defect is larger than 5-6 cm with herniation of most of the liver and bowel into the sac, the condition is commonly referred to as giant omphalocele (GO). The latter represents a challenging s...

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Conservative treatment of giant omphalocele.

Omphalocele is a congenital malformation characterized by the failure of the abdominal walls to join together on the middle line as a consequence of a developmental defect. The diameter of the resulting opening may range from a few centimetres to the almost total absence of the abdominal wall. The diameter of the defect usually ranges from 3 to 8 cm. Naturally, the wider the opening, the more c...

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Giant Omphalocele Complicated by Postoperative Duodenal Obstruction

Omphalocele is a congenital defect in the abdominal wall, usually treated at birth or within 1-2 years of life depending on condition of patient and size and contents of the defect. We repaired a giant omphalocele without mesh in a 9-year-old girl. She developed duodenal obstruction in the postoperative period requiring another laparotomy and duodeno-jejunostomy to bypass obstruction.

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Giant Omphalocele Treated With Intramuscular Tissue Expansion

Figure 1. Patient presenting at age 6 after several surgical attempts at closure. She has unstable skin graft over allogenic dermis graft. A 6-year-old girl had undergone multiple operations for an omphalocele but still retains a very large ventral hernia. She presented with an eventrated abdomen with unstable, scarred closure (see Fig. 1). A reconstruction using intermuscular tissue expanders ...

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A strategy for treatment of giant omphalocele.

BACKGROUND The management of giant omphalocele (GO) presents a major challenge to pediatric surgeons. Current treatment modalities may result in wound infection, fascial separation, and abdominal domain loss. We report a GO infant who required a delayed closure and was managed using sterile incision drape and polypropylene mesh. METHODS A 3080 g full-term female infant was born with a GO. The...

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ژورنال

عنوان ژورنال: Journal of Pediatrics & Neonatal Care

سال: 2014

ISSN: 2373-4426

DOI: 10.15406/jpnc.2014.01.00024