collection
https://read.qxmd.com/read/19002694/exomphalos-major-the-northern-ireland-experience
#21
JOURNAL ARTICLE
P Charlesworth, E Ervine, M McCullagh
PURPOSE: In exomphalos major (EM), closure of the defect in the abdominal wall presents a challenge. The aim of this study is to evaluate a single centre experience of EM. MATERIALS: A 15-year retrospective case-note review; data presented as median (range). RESULTS: Fourteen infants (7 female) were born with EM: birth weight 2.9 (1.2-3.8) kg, gestational age 38 (31-39) weeks. One infant died in utero and one within the first hour of life...
January 2009: Pediatric Surgery International
https://read.qxmd.com/read/18097671/exomphalos-major-suspension-a-novel-technique
#22
JOURNAL ARTICLE
C H Houben, M K Farrugia, D P Drake
A 38-week gestation female neonate with an antenatally diagnosed exomphalos major was born with respiratory insufficiency requiring initially high frequency oscillation, nitric oxide and inotropic support. The exomphalos was vertically stabilized by means of a novel technique prior to the application of a silo and formal closure. The technique is described and compared with others.
March 2008: Pediatric Surgery International
https://read.qxmd.com/read/17101357/traction-compression-closure-for-exomphalos-major
#23
JOURNAL ARTICLE
Antonino Morabito, Anthony Owen, Adrian Bianchi
PURPOSE: We present our experience with traction-compression-closure (TCC) for exomphalos major (EM) to achieve a safe and embryologically correct midline supraumbilical aesthetic closure with preservation of the umbilicus. METHODS: Nineteen neonates with EM were paralyzed and ventilated. The abdominal domain was increased by upward cord traction to assist liver-bowel reduction by gravity and sac ligation, followed by circumferential elastic body binder compression...
November 2006: Journal of Pediatric Surgery
https://read.qxmd.com/read/17101356/initial-nonoperative-management-and-delayed-closure-for-treatment-of-giant-omphaloceles
#24
JOURNAL ARTICLE
Steven L Lee, Todd D Beyer, Stephen S Kim, John H T Waldhausen, Patrick J Healey, Robert S Sawin, Daniel J Ledbetter
PURPOSE: Traditional treatment of giant omphaloceles with silo closure has been associated with respiratory insufficiency, hemodynamic compromise, dehiscence, and inability to close the abdomen with subsequent death. To minimize such complications, initial nonoperative management with delayed closure of the defect has been used. METHODS: Between January 1981 and December 2002, 111 patients with omphaloceles were treated. Twenty-two patients with giant omphaloceles (19 containing liver) underwent initial nonoperative management consisting of silver sulfadiazine dressing changes...
November 2006: Journal of Pediatric Surgery
https://read.qxmd.com/read/15937814/staged-repair-of-giant-omphalocele-in-the-neonatal-period
#25
JOURNAL ARTICLE
Maurizio Pacilli, Lewis Spitz, Edward M Kiely, Joe Curry, Agostino Pierro
BACKGROUND/PURPOSE: The aim of this study was to analyze the outcome of giant omphalocele repaired in the neonatal period. METHODS: Twelve consecutive (1997-2004) neonates with giant omphalocele (defect >6 cm with liver herniation) were reviewed. A silo of Prolene mesh (Ethicon) was attached to the fascia and the defect was closed without opening the amniotic sac after sequential reduction. In 2 neonates with ruptured omphalocele a plastic sheet was inserted below the mesh...
May 2005: Journal of Pediatric Surgery
https://read.qxmd.com/read/15213910/new-method-of-surgical-delayed-closure-of-giant-omphaloceles-lazaro-da-silva-s-technique
#26
JOURNAL ARTICLE
Regina M Pereira, Edson S Tatsuo, Ana C Simões e Silva, José Teixeira Guimarães, Ricardo Mattos Paixão, José C B Lanna, Marcelo E Miranda
BACKGROUND/PURPOSE: The management of patients with a giant omphalocele remains a difficult problem. In this study, the authors described a new surgical approach for delayed closure of ventral hernia--the Lazaro da Silva's technique--in conservatively treated patients. METHODS: Ventral hernias of 11 conservatively treated patients were corrected by Lazaro da Silva's technique from 1987 to 2002 in Clinic's Hospital of UFMG. The surgical procedure consisted of the bilateral longitudinal fibroperitoneal-aponeurotic transposition, resulting in 3 different layers of closure...
July 2004: Journal of Pediatric Surgery
https://read.qxmd.com/read/7666304/nonoperative-initial-management-versus-silon-chimney-for-treatment-of-giant-omphalocele
#27
JOURNAL ARTICLE
J G Nuchtern, R Baxter, E I Hatch
Giant omphalocele is a major clinical challenge for pediatric surgeons. Whereas small- to medium-sized defects can be repaired primarily, larger omphaloceles cannot be closed at birth because the liver and small bowel have lost the right of domain to the abdomen. Two divergent strategies have evolved for treating these giant defects: (1) use of a silon chimney with gradual reduction of the contents of the sac, and (2) initial nonoperative management (epithelialization) of the omphalocele followed by repair of the residual ventral hernia...
June 1995: Journal of Pediatric Surgery
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