Conservative management of exomphalos major with silver dressings: are they safe?
Historically, some dressings used in exomphalos major were associated with toxicity. These have been abandoned in favor of safer dressings. Silver toxicity has not been described following the use of silver dressings in infants. We, however, found disconcerting serum silver levels in 2 consecutive patients during treatment with silver salt containing dressings.
Department of Paediatric Surgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham B4 6NH, United Kingdom. nicola_lewis@msn.com
Nicola
N
Lewis
Vinod
V
Kolimarala
Anthony
A
Lander
D000891:Anti-Infective Agents, Local / Q000009:adverse effects* / Q000493:pharmacokinetics / Q000627:therapeutic use; D001458:Bandages; D002266:Carboxymethylcellulose Sodium; D002585:Cesarean Section; D003131:Combined Modality Therapy; D058128:Compression Bandages; D017558:Elective Surgical Procedures; D005260:Female; D018662:Fundoplication; D006554:Hernia, Umbilical / Q000175:diagnosis / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007231:Infant, Newborn; D009779:Occlusive Dressings; D010577:Petrolatum / Q000627:therapeutic use; D011296:Prenatal Diagnosis; D012422:Rupture, Spontaneous; D012834:Silver / Q000097:blood*; D012837:Silver Sulfadiazine / Q000009:adverse effects* / Q000493:pharmacokinetics / Q000627:therapeutic use; D013536:Suture Techniques
D000891:Anti-Infective Agents, Local; C103734:jelonet; D012834:Silver; D010577:Petrolatum; D002266:Carboxymethylcellulose Sodium; D012837:Silver Sulfadiazine