Umbrella repair of giant omphalocele, A new technique.

Mehran Hiradfar--- Associate professor of pediatric surgery. Mashhad University of medical sciences- IRAN,
Reza Shojaeian--- Assistant Professor of pediatric surgery,
Mahmoud Reza Ashab Yamin--- Assistant professor of plastic surgery. Kerman University of medical sciences- IRAN

Abstract


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Introduction: Although many techniques have been described for reconstruction of

the giant omphalocele, we present a simple , effective and safe new technique.

Materials and Methods: We have studied 11 neonates with giant omphalocele that were treated by a new technique, Umbrella repair, in Sarvar pediatric hospital of Mashhad, Iran. In this new technique we released the skin around the omphalocele membrane just near the junction and a purse string suture is placed at the edge of the skin with beads beneath each bite and graded tightening of the suture in order to pushing the omphalocele toward the abdominal cavity. Finally we compare the results

Results: Among total 11 patients, mean age and weight at the time of operation were 2.18 days and 2150 grams respectively. comparing the results between groups, we observed significant less operative time and number of surgeries in neonatal period among patients who managed by umbrella repair. Post-operative complications, morbidity and mortality in umbrella repair group were also less than coventional methods.

Conclusion: Umbrella repair provide a rapid and safe method for management of giant omphalocele with acceptable results and low morbidity and mortality.


Keywords


Giant omphalocele- Surgery- complications- Umbrella repair

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References


References:

Akinkuotu AC, Sheikh F, Olutoye OO, Lee TC, Fernandes CJ, Welty SE, Ayres NA, Cass DL. Giant omphaloceles: surgical management and perinatal outcomes. J Surg Res. 2015 Oct;198(2):388-92.

Klein MD. Congenital defects of the abdominal wall. In: Coran A, Adzic NS, Krummel TM, Laberge JM, Caldamone A, Shamberger R. Pediatric surgery. 2012, 7th ed, Elsevier:Philadelphia, 977-83

Bauman B, Stephens D, Gershone H, Bongiorno C, Osterholm E, Acton R, Hess D, Saltzman D, Segura B. Management of giant omphaloceles: A systematic review of methods of staged surgical vs. nonoperative delayed closure. J Pediatr Surg. 2016 Jul 27. pii: S0022-3468(16)30188-9.

Binet A, Supply E, De Napoli Cocci S, De Cornulier M, Lardy H, Le Touze A. [Tissue expansion in management of giant omphalocele parietal sequelae]. Ann Chir Plast Esthet. 2016 Aug 25. pii: S0294-1260(16)30141-8.

Malhotra S, Kumta S, Bhutada A, Jacobson-Dickman E, Motaghedi R. Topical Iodine-Induced Thyrotoxicosis in a Newborn with a Giant Omphalocele. AJP Rep. 2016 Apr;6(2):e243-5.

Travassos DV, van Eerde AM, Kramer WL. Management of a Giant Omphalocele with Non-Cross-Linked Intact Porcine-Derived Acellular Dermal Matrix (Strattice) Combined with Vacuum Therapy. European J Pediatr Surg Rep. 2015 Dec;3(2):61-3.

Aldridge B, Ladd AP, Kepple J, Wingle T, Ring C, Kokoska ER. Negative pressure wound therapy for initial management of giant omphalocele. Am J Surg. 2016 Mar;211(3):605-9.

Oquendo M, Agrawal V, Reyna R, Patel HI, Emran MA, Almond PS. Silver-impregnated hydrofiber dressing followed by delayed surgical closure for management of infants born with giant omphaloceles. J Pediatr Surg. 2015 Oct;50(10):1668-72.

Jiang W, Zhang J, Lv X, Lu C, Chen H, Xu X, Tang W. Use of small intestinal submucosal and acellular dermal matrix grafts in giant omphaloceles in neonates and a rabbit abdominal wall defect model. J Pediatr Surg. 2016 Mar;51(3):368-73.

Kruit AS, Al-Ani SA, Jester I, Jester A. Multilayered Flap Technique: A Method for Delayed Closure of Giant Omphalocele. Ann Plast Surg. 2016 Jun;76(6):680-3.

Swartz KR, Harrison MW, Campbell JR, Campbell TJ. Ventral hernia in the treatment of omphalocele and gastroschisis. Ann Surg. 1985 Mar;201(3):347-50.




DOI: http://dx.doi.org/10.22037/irjps.v2i2.13955

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