Management of a giant omphalocele with an external skin closure system

Journal of Pediatric Surgery
Robert BairdPramod S Puligandla

Abstract

The management of neonates with giant omphalocele remains challenging and multiple strategies have been described. We present the case of a 34-week-old neonate with isolated giant omphalocele managed with an external surgical skin closure system as a component of a staged closure strategy. An Inuit boy of 34 weeks gestation was born by urgent Caesarean delivery at an affiliated obstetrical hospital with a giant ruptured omphalocele and loss of abdominal domain. He was transferred to our institution and a silastic silo was fashioned and placed in the operating room. He returned to the operating room several times and was treated by placement of a combined Gore-Tex (WL Gore and Associates, Flagstaff, Ariz)/silastic inlay mesh. An eschar formed over this temporary closure, and we elected to place a dynamic skin closure device to continue gradual bedside reduction. The initial abdominal wall defect was 8.5 cm in transverse diameter and was reduced to 4.5 cm over 3 weeks. Complete closure was subsequently achieved without the need for skin grafting. The use of a dynamic reduction skin closure device has not been documented previously in the pediatric population or in the context of a congenital defect. We describe the use of an exte...Continue Reading

References

Jan 1, 1978·Clinical Toxicology·T F YehH V Firor
Jul 1, 1991·Journal of Pediatric Surgery·A A de LorimierM R Harrison
Feb 1, 1986·Australian Paediatric Journal·S W Beasley, P G Jones
May 1, 1987·American Journal of Surgery·E I Hatch, R Baxter
Jan 1, 1987·Journal of Pediatric Surgery·B BarlowM Niemirska
Aug 1, 1980·Journal of Pediatric Surgery·B H TowneJ H Chang
Apr 30, 2003·Journal of Pediatric Surgery·Osama Abdullah BawazirDavid L Sigalet
Sep 3, 2003·The Journal of Biological Chemistry·Christian OttMargarete Goppelt-Struebe
Apr 1, 1963·Archives of Disease in Childhood·F SOAVE
Oct 31, 2003·Journal of the American College of Surgeons·Rebecca C TaylorMichael G Bell
Jun 7, 2005·Journal of Pediatric Surgery·Maurizio PacilliAgostino Pierro
Jan 18, 2006·Journal of Pediatric Surgery·Kandice E KilbrideMonford D Custer
Nov 15, 2006·Journal of Pediatric Surgery·Steven L LeeDaniel J Ledbetter
Nov 15, 2006·Plastic and Reconstructive Surgery·Lauren P ArcherBrad W Warner
Jul 4, 2009·Journal of Pediatric Surgery·Bernardo Almeida CamposMarcelo Eller Miranda

❮ Previous
Next ❯

Citations

Dec 4, 2019·Pediatrics in Review·Sara A Mansfield, Tim Jancelewicz
Sep 12, 2012·Annals of Plastic Surgery·Gabriel F SantiagoIan L Valerio
Jul 23, 2016·Khirurgiia·Yu A KozlovN N Kuznetsova
Dec 21, 2020·Journal of Pediatric Surgery·Cristobal AbelloMiguel Guelfand
Sep 4, 2021·Plastic and Reconstructive Surgery. Global Open·Youna K ChoiBarbu Gociman

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie
S F HassanA Pimpalwar
Journal of Perinatology : Official Journal of the California Perinatal Association
F AbdullahD C Chang
© 2021 Meta ULC. All rights reserved