• J. Pediatr. Surg. · Apr 2004

    Case Reports

    The use of tissue expanders in the closure of a giant omphalocele.

    • Daniel A De Ugarte, Morris J Asch, Marc H Hedrick, and James B Atkinson.
    • Divisions of Pediatric Surgery, UCLA Medical Center, Los Angeles, CA, USA.
    • J. Pediatr. Surg. 2004 Apr 1; 39 (4): 613-5.

    AbstractGiant 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.

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