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