Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach

Autor: Nelson, Jana, Wachowiak, Robin, Siekmeyer, Manuela, Knuepfer, Matthias, Thome, Ulrich, Holger, Stepan, Lacher, Martin
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: European Journal of Pediatric Surgery Reports, Vol 08, Iss 01, Pp e112-e116 (2020)
European Journal of Pediatric Surgery Reports
ISSN: 2194-7627
2194-7619
DOI: 10.1055/s-0040-1721054
Popis: Ruptured giant omphaloceles (GO) and gastroschisis with total liver herniation are rare cases of exceptionally large abdominal wall defects. Many of these children have lethal outcome. The surgical and postsurgical management are complex. We report on two cases treated with staged surgical repair using a wound retractor as a silo. With this technique, the liver and intestines could be reduced into the abdomen with secondary closure of the abdominal cavity within the first 1 to 2 weeks of life.
Databáze: OpenAIRE