Sun Jian,Qi Yongbo,Zhang Lei,et al.Clinical experience for giant neonatal omphalocele adopting with silica bag plus local pressing.[J].Journal of Clinical Pediatric Surgery,,17():774-777.
Clinical experience for giant neonatal omphalocele adopting with silica bag plus local pressing.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 10
Page:
774-777
Column:
论著
Date of publication:
2018-10-25
- Keywords:
- Omphalocele; Neonate; Reconstruction With Silica Bag; Local Pressing
- Document code:
- A
- Abstract:
- ObjectiveTo explore the therapeutic efficacy of giant neonatal omphalocele adopting with silica bag plus local pressing.MethodsA total of 16 cases of neonatal giant omphalocele were retrospectively analyzed from October 2010 to April 2017.For protecting the integrity of amniotic sac,sterile silica bag was used for wrapping protruding viscera and sutured with the edge of abdominal wall.Protruding viscera were gradually returned into abdominal cavity.Silica bag was extracted after 1-2 months.Then a semispherical gauze bag was adopted for pressure bandaging.MEBO cream was applied to observe the therapeutic efficacy.ResultsAmong them,the protruding viscera of 12 cases were placed in abdominal cavity.Abdominal wall gradually healed like a natural umbilicus.Repairing of giant omphalocele and diaphragmatic hernia was performed for 1 case after 2 months.The protruding viscera of 3 cases were not fully returned.Yet wound became completely epithelialized.And omphalocele repair was conducted after 2-3 years.All cases was followed up for 5 months to 6 years.Umbilical regions of all cases showed satisfactory appearances.All developments were excellent and there was neither complication nor mortality.ConclusionFor protecting the integrity of amniotic sac,reconstruction with silica bag plus local pressing and elective omphalocele repair are effective and efficacious.It may improve the cure rate and decrease the mortality for neonatal giant omphalocele.
Last Update:
2018-10-24