2023年3月11日 · Staged repair is done when your baby isn't stable enough for primary repair. Or, it is done if the omphalocele is very large and the organs can't fit into the baby's belly. The repair is performed the following way: Right after birth, a plastic pouch (called a silo) or a mesh-type of material is used to contain the omphalocele.

In this article we examine surgical closure options for omphaloceles ranging from early primary fascial repair for small omphaloceles to a staged repair, often facilitated by an amnion preserving silo, which may be necessary for giant omphaloceles that cannot be closed primarily.

For babies with giant omphalocele that contain the liver and other organs, a staged repair (involving several steps, also called the Schuster procedure) is needed to gradually return the abdominal contents to the belly. This gradual process provides time for the abdominal wall to stretch to accommodate the viscera, and ensures that the lungs ...

2019年4月1日 · In this article we examine surgical closure options for omphaloceles ranging from early primary fascial repair for small omphaloceles to a staged repair, often facilitated by an amnion preserving silo, which may be necessary for giant omphaloceles that cannot be …

The optimal surgical treatment of giant omphalocele, characterized by an abdominal wall defect larger than 6 cm and/or liver herniation, is still controversial. The degree of viscero-abdominal disproportion often makes it difficult to close the defect in 1 stage without causing hemodynamic or respiratory compromise. Different staged repair strate-

Giant omphalocele can be safely repaired in the neonatal period without opening the amniotic sac. Intestinal malrotation should be excluded and Ladd's procedure can be performed laparoscopically at a later stage.

2025年1月1日 · Immediate closure of a large omphalocele sac can lead to increased intra-abdominal pressure, respiratory compromise, and potential organ damage [4]. Various surgical strategies have been described to address this issue, including staged repair, use of prosthetic materials, and delayed closure techniques [5, 6].

Staged repair is done when your baby isn't stable enough for primary repair. Or, it is done if the omphalocele is very large and the organs can't fit into the baby's belly. The repair is performed the following way: Right after birth, a plastic pouch (called a silo) or a mesh-type of material is used to contain the omphalocele.

2019年11月2日 · This chapter describes the surgical procedure for primary closure of a small- to moderate-sized omphalocele. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the...

2022年11月23日 · In giant omphalocele, due to the viscero-abdominal disproportion, gradual reintegration of eviscerated organs is often associated with medical challenges. We report our preliminary experience combining staged gravitational reduction with vacuum (VAC) therapy as a novel approach for treatment of giant omphalocele.