Staged Closure of Giant Omphalocele using Synthetic Mesh
نویسندگان
چکیده
Giant omphalocele is difficult to manage and is associated with a poor outcome. A male newborn presented to our hospital with a giant omphalocele. We performed a staged closure of giant omphalocele using synthetic mesh to construct a silo and then mesh abdominoplasty in the neonatal period that led to a successful outcome within a reasonable period of hospital stay.
منابع مشابه
Staged closure of a giant omphalocele with amnion preservation, modified technique
Closure of a giant omphalocele can be challenging. Preservation of the amnion in staged closure is not commonly practiced. Here, we describe 2 cases of giant omphalocele treated with a modified amnion preservation, staged closure technique. This paper demonstrates the feasibility and safety of this technique, and the versatility of amnion to adapt to an escharization strategy if closure is not ...
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OBJECTIVE To evaluate the clinical utility of GORE® DUALMESH (GDM) in the staged closure of large congenital abdominal wall defects. MATERIALS AND METHODS Data of patients with congenital abdominal wall defects managed with GDM was analyzed for outcome regarding complete fascial closure; mesh related complications; and post-discharge gastrointestinal surgery. RESULTS GDM was placed in 34 (g...
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The traditional surgical methods typically used to repair the abdominal wall defect present in cloacal exstrophy, omphalocele, and gastroschisis during the neonatal period include definitive primary muscle, fascia, and skin closure, primary skin closure only with late ventral hernia repair, and a staged closure using a silo. The method chosen usually depends on the extent of visceral edema, the...
متن کاملA 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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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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