Huang Zijun,Xu Suting,Li Sha,et al.Efficacy of treating giant omphalocele by procedural dressing and delayed closure[J].Journal of Clinical Pediatric Surgery,,19():301-305.[doi:10.3969/j.issn.1671-6353.2020.04.004]
Efficacy of treating giant omphalocele by procedural dressing and delayed closure
- Keywords:
- Hernia; Umbilical/DI; Hernia; Umbilical/SU; Reconstructive Surgical Procedures; Treatment Outcome
- CLC:
- R726.1;R657.7;R628
- Abstract:
- Objective To explore the safety and efficacy of procedural dressing and delayed operation for neonatal giant omphaloceles.Methods A retrospective study was performed for clinical data of giant omphaloceles treated by procedural dressing and delayed closure from December 2016 to July 2018.Results A total of 7 cases were recruited.There was no rupture of capsule membrane during birth.There were no such complications as capsule infection,rupture,intestinal obstruction,bandaging difficulty and re-admission during treatment.The capsule membrane for dry scar period needed 5(IQR:4~5)d days.The capsule membrane for completing epithelialization needed 65(57-68) days.It took 6(3-12) days for parents to learn dressing.The median length of hospital stay was 21(19-29) days.All seven cases survived.6 cases underwent abdominal wall defect repairing.And 2/7 cases required ventilator supports for 5 and 17 hours respectively.The median length of hospital stay was 9.5(7.25-10.25) days.Neither poor wound healing nor incisional hernia occurred postoperatively.One case still awaited delayed closure.Conclusion Procedural dressing and delayed closure are safe and effective for treating giant omphaloceles.However,long-term prognosis needs more follow-up studies.
References:
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Memo
收稿日期:2019-11-27。
通讯作者:钟微,Email:zhongwei@gwcmc.org