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  • 1
    Electronic Resource
    Electronic Resource
    Pediatric surgery international 16 (2000), S. 519-521 
    ISSN: 1437-9813
    Keywords: Key words Giant omphalocele ; Exomphalos ; Silastic silo ; Abdominal wall defects ; Tissue expander
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract  Large omphaloceles that contain centrally herniated liver pose challenges to surgical closure, the most significant being the space limitation of the abdominal cavity. In addition, the “pedicled” nature of the liver on the inferior vena cava creates a predisposition to acute hepatic vascular outflow obstruction as the liver is reduced into the abdominal cavity. In such cases, the alternatives include conservative treatment or staged silo reduction. The worst complication of silastic silo (SS) placement is tension and infection of the fascia with disruption of the suture line. Once infection or premature disruption occurs, closure of the defect is difficult or impossible. This case report details a different management technique for a newborn with a giant omphalocele and presents an interesting variation of the usual SS technique that may be helpful in the management of some cases, especially in an emergency. The thick silk sutures applied in the present case absorbed the tension and the silastic sheet prevented the risks of infection and adhesions.
    Type of Medium: Electronic Resource
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