Abstract:
BACKGROUND:The management of giant omphaloceles (GO) can be quite difficult when there is absence of abdominal domain. Coverage with delayed closure has been described. We present a technique to create an adequate peritoneal domain. METHODS:This is a retrospective review of our experience using an intraperitoneal tissue expander (IPTE) to create adequate abdominal domain in 2 patients with GO. RESULTS:In 2 children with unrepaired GO, an IPTE was placed into the pelvis and was inflated to the target volume over 3 to 4 weeks. At the definitive operation for the closure of the abdominal defect, the IPTE was removed, allowing reduction of all the viscera into the peritoneal cavity and achieving complete abdominal wall closure. The patients are now 1 year postoperative, each having a normal abdomen and enjoying normal growth and development. CONCLUSION:Intraperitoneal tissue expander placement can create the needed domain over several weeks in GO. Its use in 2 cases was associated with satisfactory complete abdominal wall closure in short order. This technique should be considered as a treatment option.
journal_name
J Pediatr Surgjournal_title
Journal of pediatric surgeryauthors
Foglia R,Kane A,Becker D,Asz-Sigall J,Mychaliska Gdoi
10.1016/j.jpedsurg.2005.12.013subject
Has Abstractpub_date
2006-04-01 00:00:00pages
704-9; discussion 704-9issue
4eissn
0022-3468issn
1531-5037pii
S0022-3468(05)00955-3journal_volume
41pub_type
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journal_title:Journal of pediatric surgery
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pub_type: 杂志文章,评审
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journal_title:Journal of pediatric surgery
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doi:10.1016/j.jpedsurg.2006.05.011
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pub_type: 杂志文章
doi:10.1016/j.jpedsurg.2010.06.033
更新日期:2010-11-01 00:00:00
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doi:10.1016/j.jpedsurg.2008.04.011
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pub_type: 杂志文章
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更新日期:2000-06-01 00:00:00
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journal_title:Journal of pediatric surgery
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journal_title:Journal of pediatric surgery
pub_type: 杂志文章
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