Nonoperative management of a giant omphalocele using a silver impregnated hydrofiber dressing: a case report.
The surgical management of a giant omphalocele is challenging. Many cannot be closed at birth and must initially be managed nonoperatively with a topical agent to facilitate epithelialization. We report the case of a term, 1-day-old female neonate with a giant omphalocele treated initially with a hydrofiber dressing containing silver (Aquacel Ag; ConvaTec Inc, Skillman, NJ) and then with delayed primary closure.
Almond
Stephen
S
Driscoll Children's Hospital, Department of Pediatric Surgery, Corpus Christi, TX 78411, USA. stephen.almond@dchstx.org
Reyna
Roxana
R
Barganski
Natalie
N
Emran
Mohammad A
MA
D000891:Anti-Infective Agents, Local / Q000008:administration & dosage*; D002266:Carboxymethylcellulose Sodium; D005260:Female; D006554:Hernia, Umbilical / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D009779:Occlusive Dressings; D012837:Silver Sulfadiazine / Q000008:administration & dosage*
D000891:Anti-Infective Agents, Local; D002266:Carboxymethylcellulose Sodium; D012837:Silver Sulfadiazine