Silver-impregnated hydrofiber dressing followed by delayed surgical closure for management of infants born with giant omphaloceles

Oquendo, Marcial; Agrawal, Vaidehi; Reyna, Roxana; Patel, Haroon; Emran, Mohammad A.; Almond, P. S.

doi:10.1016/j.jpedsurg.2015.06.011

Cited by 23 publications

(8 citation statements)

References 26 publications

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“…Most studies that report high blood levels of these agents seem to be older studies, where applications used to have a higher concentration 12,17,18,20,40–43 . More recent studies with diluted applications show the agents' blood level to be at the upper end of normal, but with no associated complications 7,8,13,34,35,38 . There are more reports describing less toxic agents, like honey and saline, to avoid the risk of toxicity with comparative length of hospital stays and time to full epithelialisation of the sac 5,10,24,25 …”

Section: Discussionmentioning

confidence: 99%

“…Initial search resulted in 1243 studies; after excluding duplicates and non-eligible studies, 42 studies were deemed suitable and offered 822 patients for analysis. Gestational age was reported in 16 studies with a median of 36 (29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39) weeks. Birth weight was reported in 21 studies with a median of 2.6 (1.3-3.1) kg.…”

Section: Re Sultsmentioning

confidence: 99%

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Choice of topical substances in the conservative management of Exomphalos – A systematic review

Goneidy,

Saxena

2023

Acta Paediatrica

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AimExomphalos is a congenital anomaly found in 1/4500 newborns. Choice of non‐operative management of exomphalos major unamenable to primary repair is controversial. This study aims at reviewing conservative management modalities and compare outcomes and complications.MethodsA systematic review was performed according to PRISMA guidelines of all English publications in MEDLINE and EMBASE databases. Search words were exomphalos OR omphalocoele AND conservative OR non‐operative AND management. Studies were scrutinised for patient demographics, co‐morbidities, mode of treatment, time to full feeds, time to full epithelialisation, length of stay, complications and mortality. Studies not specifically describing mode of management and/or describing primary or staged surgical repairs were excluded.ResultsInitial search resulted in 1243 studies. Forty‐two studies were deemed suitable offering 822 patients for analysis after excluding duplicates and non‐eligible studies. Management methods varied including painting with Alcohol, Mercurochrome, silver products, Povidone Iodine, honey and other materials. Mortality was mostly due to associated anomalies. There was mixed reporting of alcohol, silver, Povidone Iodine and mercury toxicity as well as infection during the course of treatment.ConclusionThis report has recognised the variations in topical substances employed for conservative management with no clear consensus. Reports on safety of different methods remain unclear.

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Section: Discussionmentioning

confidence: 99%

Section: Re Sultsmentioning

confidence: 99%

Choice of topical substances in the conservative management of Exomphalos – A systematic review

Goneidy,

Saxena

2023

Acta Paediatrica

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“…Although multiple management strategies have been developed for a GO, we failed to achieve abdominal wall closure with those conventional strategies in this case [ [1] , [2] , [3] , [4] ].…”

Section: Discussionmentioning

confidence: 99%

“…Hence, it often represents a major surgical challenge. Although various treatment strategies such as initial operative closure, staged closure, and several delayed closures exist, there is no consensus on the optimal management for a GO [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Successful abdominal wall closure following collagen-based artificial dermis induced epithelialization for giant omphalocele: A case report

Horiike

Kitada

Santo

et al. 2020

International Journal of Surgery Case Reports

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Highlights A giant omphalocele (GO) is related to higher rates of morbidity and mortality. No consensus exists on optimal GO management, which may be surgically challenging. We report the successful GO management of a neonate with numerous complications. We applied a collagen-based artificial dermis for epithelization as a new treatment.

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“…Dev omfalosellerde gümüş emdirilmiş hidrofiber kullanımını takiben gecikmiş cerrahi tedavi de bir alternatif olabilir (59) .…”

Section: Tedavi̇unclassified

Abdominal wall defects: omphalocele and gastrschisis

Yazıcı¹

2017

tcdd

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Silver-impregnated hydrofiber dressing followed by delayed surgical closure for management of infants born with giant omphaloceles

Cited by 23 publications

References 26 publications

Choice of topical substances in the conservative management of Exomphalos – A systematic review

Choice of topical substances in the conservative management of Exomphalos – A systematic review

Successful abdominal wall closure following collagen-based artificial dermis induced epithelialization for giant omphalocele: A case report

Abdominal wall defects: omphalocele and gastrschisis

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