The use of tissue expanders in the closure of a giant omphalocele.
Giant omphalocele is associated with a high degree of visceroabdominal disproportion, which prohibits safe primary closure. Conventional treatment options include (1) topical therapy with epithelialization followed by secondary ventral hernia repair and (2) staged reduction using a SILASTIC(R) (Dow Corning, Midland, MI) chimney. The authors report a case in which staged reduction of a giant omphalocele was facilitated by the use of crescent-shaped tissue expanders positioned in the potential space between the internal oblique and transversus abdominis layers of the abdominal wall.
De Ugarte
Daniel A
DA
Divisions of Pediatric Surgery, UCLA Medical Center, Los Angeles, CA, USA.
Asch
Morris J
MJ
Hedrick
Marc H
MH
Atkinson
James B
JB
D034861:Abdominal Wall / Q000002:abnormalities / Q000601:surgery; D000015:Abnormalities, Multiple; D001980:Bronchi / Q000473:pathology; D003914:Dextrocardia; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery; D006801:Humans; D007231:Infant, Newborn; D015625:Tissue Expansion Devices