Neonatal giant exomphalos:A staged approach by external silo and DuoDERM dressing reductions followed by delayed primary repair  

作　　者：Rafael Cavalcante Correia Balliari MD Sardenberg AAF Indre Zaparackaite Swamy KB Partap Kumar Midha Ramnik Patel 

机构地区：[1]Department of Pediatric Surgery and Neonatology,Unimed Hospital of Tatui,R.Cel.Lúcio Seabra,Tatui,Sao Paulo,Brazil [2]Department of Pediatric Surgery,Evelina Children’s Hospital,London,UK [3]Lincoln University College,Lincoln University,Kuala Lumpur,Malaysia [4]J Watumull Global Hosp&Research Centre,Mount Abu,307501,Rajasthan,India [5]Departments of Pediatric Surgery,Postgraduate Institute of Child Health&Research and KT Children Govt University Teaching Hospital,Rajkot,Gujarat,India

出　　处：《Discussion of Clinical Cases》2023年第4期1-8,共8页临床病例讨论杂志(英文版)

摘　　要：We present a 2,440 g male neonate born by caesarian section at 38 weeks of gestational age.Baby had been diagnosed with giant exomphalos during prenatal scans.Due to the giant size of the exomphalos with liver being sac content to more than 50%and severe degree of abdominovisceral disproportion,the decision was made to adopt a staged-treatment approach.We created an external silo supplemented with DuoDERM compression dressings and adjusted it over three weekly sessions.The exomphalos was completely reduced,and the patient underwent delayed primary closure A modified single-layer abdominal wall repair was carried out uneventfully.The post-operative period was uncomplicated and at follow-up 4 years later the patient had no incisional hernia and is thriving well.

关 键 词：Abdominal wall defects Congenital Delayed primary closure DUODERM Giant exomphalos Nonsurgical staged closure NEONATAL Minimal invasive technique 

分 类 号：R73[医药卫生—肿瘤]