Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach

Ruptured giant omphaloceles (GO) and gastroschisis with total liver herniation are rare cases of exceptionally large abdominal wall defects. Many of these children have lethal outcome. The surgical and postsurgical management are complex. We report on two cases treated with staged surgical repair us...

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Autores principales: Nelson, Jana, Wachowiak, Robin, Siekmeyer, Manuela, Knuepfer, Matthias, Thome, Ulrich, Holger, Stepan, Lacher, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738231/
https://www.ncbi.nlm.nih.gov/pubmed/33335827
http://dx.doi.org/10.1055/s-0040-1721054
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author Nelson, Jana
Wachowiak, Robin
Siekmeyer, Manuela
Knuepfer, Matthias
Thome, Ulrich
Holger, Stepan
Lacher, Martin
author_facet Nelson, Jana
Wachowiak, Robin
Siekmeyer, Manuela
Knuepfer, Matthias
Thome, Ulrich
Holger, Stepan
Lacher, Martin
author_sort Nelson, Jana
collection PubMed
description Ruptured giant omphaloceles (GO) and gastroschisis with total liver herniation are rare cases of exceptionally large abdominal wall defects. Many of these children have lethal outcome. The surgical and postsurgical management are complex. We report on two cases treated with staged surgical repair using a wound retractor as a silo. With this technique, the liver and intestines could be reduced into the abdomen with secondary closure of the abdominal cavity within the first 1 to 2 weeks of life.
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spelling pubmed-77382312020-12-16 Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach Nelson, Jana Wachowiak, Robin Siekmeyer, Manuela Knuepfer, Matthias Thome, Ulrich Holger, Stepan Lacher, Martin European J Pediatr Surg Rep Ruptured giant omphaloceles (GO) and gastroschisis with total liver herniation are rare cases of exceptionally large abdominal wall defects. Many of these children have lethal outcome. The surgical and postsurgical management are complex. We report on two cases treated with staged surgical repair using a wound retractor as a silo. With this technique, the liver and intestines could be reduced into the abdomen with secondary closure of the abdominal cavity within the first 1 to 2 weeks of life. Georg Thieme Verlag KG 2020-01 2020-12-15 /pmc/articles/PMC7738231/ /pubmed/33335827 http://dx.doi.org/10.1055/s-0040-1721054 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. ( https://creativecommons.org/licenses/by/4.0/ ) https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Nelson, Jana
Wachowiak, Robin
Siekmeyer, Manuela
Knuepfer, Matthias
Thome, Ulrich
Holger, Stepan
Lacher, Martin
Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
title Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
title_full Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
title_fullStr Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
title_full_unstemmed Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
title_short Treatment of Ruptured Giant Omphalocele and Gastroschisis with Liver Herniation using a Wound Retractor as a Novel Approach
title_sort treatment of ruptured giant omphalocele and gastroschisis with liver herniation using a wound retractor as a novel approach
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7738231/
https://www.ncbi.nlm.nih.gov/pubmed/33335827
http://dx.doi.org/10.1055/s-0040-1721054
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