Initial nonoperative management and delayed closure for treatment of giant omphaloceles

Lee, Steven L.; Beyer, Todd D.; Kim, Stephen S.; Waldhausen, John H.T.; Healey, Patrick J.; Sawin, Robert S.; Ledbetter, Daniel J.

doi:10.1016/j.jpedsurg.2006.06.011

Cited by 132 publications

(106 citation statements)

References 18 publications

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“…[1] Treatment options for giant omphalocele include, initial non-operative management and then delayed repair between 6 months to 1 year of age and staged repair using silastic patch over 2-month period. [2,3] Giant omphalocele can be repaired using mesh or tissue expanders. In the present case, right lobe of liver along with gallbladder and part of stomach and duodenum were herniated into the defect, but fascial closure was possible without need of any mesh.…”

Section: Discussionmentioning

confidence: 99%

Giant Omphalocele Complicated by Postoperative Duodenal Obstruction

et al. 2017

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Section: Discussionmentioning

confidence: 99%

Giant Omphalocele Complicated by Postoperative Duodenal Obstruction

et al. 2017

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“…Beş cm'den büyük omfalosellerde genellikle kese içerisinde karaciğer bulunur ve bunlarda morbidite ve mortalite oranı yüksektir (37,38) .…”

Section: Prognozunclassified

“…Bir kısım klinisyen defekt çapı 5 cm'den büyük ve kese içerisinde karaciğer varsa bunu dev omfalosel olarak tanımlarken (37) , bir kısmı da defekt çapının 10 cm'nin üzerinde olduğu olguları dev omfalosel olarak tanımlamaktadırlar (45) .…”

Section: Tedavi̇unclassified

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Abdominal wall defects: omphalocele and gastrschisis

Yazıcı¹

2017

tcdd

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“…Despite advances in anesthesia and neonatal resuscitation, the omphalocele surgical treatment causes serious complications incurred in the postoperative mortality [5,[10][11][12][13]. The main complications implicated in the postoperative mortality are: sepsis, respiratory failure and hemodynamic instability [5,13,15].…”

Section: Citationmentioning

confidence: 99%

Techniques and Results of the Conservative Treatment of Giant Omphalocele with 2% Disodium Aqueous Eosin

2014

Clinics in Mother and Child Health

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Aim: Describe the techniques and results of the conservative treatment of giant omphalocele with aqueous eosin. Material and Methods:It was a 15 years conservative treatment retrospective study of giant omphalocele with 2% disodium eosin aqueous. The technique consisted of the twice a day application of 2% eosin on the omphalocele bag (sterile solution for cutaneous application). The technique was taught to the mother to continue with the outpatient care. We studied the duration of hospitalization, the learning curve of the technique through the mother, the intercurrent complications, the complete epithelialization percentage and the mortality.Results: A total number of 173 giant omphaloceles had a conservative treatment with 2% aqueous eosin. The average length of hospitalization was 21 ± 6 days. The learning curve of the application of the aqueous eosin on the bag omphalocele through the mother was 10 ± 3 days. Complications of treatment were 22% functional bowel obstruction and 18% infection of the omphalocele bag. The complete epithelialization of the omphalocele bag after the application of the 2% aqueous eosin was 68.5%. The mortality was observed in 25.5% of cases. Conclusion:The giant omphalocele conservative treatment with aqueous eosin is a simple, efficient technique and a good alternative to surgery. The learning through the mother reduces the length of hospital stay.

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Initial nonoperative management and delayed closure for treatment of giant omphaloceles

Cited by 132 publications

References 18 publications

Giant Omphalocele Complicated by Postoperative Duodenal Obstruction

Giant Omphalocele Complicated by Postoperative Duodenal Obstruction

Abdominal wall defects: omphalocele and gastrschisis

Techniques and Results of the Conservative Treatment of Giant Omphalocele with 2% Disodium Aqueous Eosin

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