Alaish Samuel M, Strauch Eric D
Division of Pediatric Surgery, University of Maryland School of Medicine, Baltimore, MD 21201, USA.
J Pediatr Surg. 2006 Mar;41(3):e37-9. doi: 10.1016/j.jpedsurg.2005.12.067.
Giant omphaloceles are associated with a considerable loss of abdominal domain. Early primary repair of the fascia is either not possible or poorly tolerated by the infant. Current surgical options result in a ventral hernia requiring future surgery or involve the chronic use of prosthetic patches with or without tissue expanders. This case presentation describes an alternative surgical approach that results in early fascial closure using an interposition graft of Alloderm.
巨大脐膨出与相当大的腹腔容量丧失有关。早期对筋膜进行一期修复对婴儿来说要么不可能，要么耐受性差。目前的手术选择会导致腹疝，需要未来再次手术，或者涉及长期使用带或不带组织扩张器的人工补片。本病例报告描述了一种替代手术方法，该方法使用同种异体真皮植入物实现早期筋膜闭合。
