The use of tissue expanders in the closure of a giant omphalocele

Giant omphalocele is associated with a high degree of visceroabdominal disproportion, which prohibits safe primary closure. Conventional treatment options include (1) topical therapy with epithelialization followed by secondary ventral hernia repair and (2) staged reduction using a SILASTIC® (Dow Co...

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Bibliographic Details
Published in:Journal of pediatric surgery 2004-04, Vol.39 (4), p.613-615
Main Authors: De Ugarte, Daniel A., Asch, Morris J., Hedrick, Marc H., Atkinson, James B.
Format: Article
Language:English
Subjects:
Abdominal Wall - abnormalities
Abdominal Wall - surgery
abdominal wall defect
Abnormalities, Multiple
Bronchi - pathology
Dextrocardia
exomphalos
Female
Hernia, Umbilical - surgery
Hernia, Ventral - etiology
Hernia, Ventral - surgery
Humans
Infant, Newborn
omphalocele
Tissue expander
Tissue Expansion Devices
visceroabdominal disproportion
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Description
Summary:Giant omphalocele is associated with a high degree of visceroabdominal disproportion, which prohibits safe primary closure. Conventional treatment options include (1) topical therapy with epithelialization followed by secondary ventral hernia repair and (2) staged reduction using a SILASTIC® (Dow Corning, Midland, MI) chimney. The authors report a case in which staged reduction of a giant omphalocele was facilitated by the use of crescent-shaped tissue expanders positioned in the potential space between the internal oblique and transversus abdominis layers of the abdominal wall.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2003.12.022