Kim W B, Kim J, Boo Y J, Park S H, Song T J, Suh S O
Department of Surgery, Korea University Medical Center, College of Medicine, Korea University, 126-1 5th-Ga, Anam-Dong Sungbuk-Gu, Seoul 136-705, South Korea.
Hernia. 2009 Aug;13(4):431-4. doi: 10.1007/s10029-008-0456-z. Epub 2008 Dec 16.
We report the case of a successful vaginal delivery following laparoscopic abdominal wall reconstruction in an adult survivor of an omphalocele without prior surgical repair. Untreated omphaloceles are rare in adulthood. A 30-year-old female patient presented with a large anterior abdominal wall defect due to an untreated omphalocele, who expressed a desire to have a baby in the near future. A laparoscopic herniorrhaphy was performed with a double-layered expanded polytetrafluoroethylene (ePTFE, Gore-Tex) mesh. The patient delivered a full-term healthy baby vaginally 2 years after surgical repair of the omphalocele.
我们报告了一例成年脐膨出未进行过手术修复的幸存者在腹腔镜腹壁重建后成功经阴道分娩的病例。未经治疗的脐膨出在成年期较为罕见。一名30岁女性患者因未经治疗的脐膨出出现巨大的前腹壁缺损,她表示希望在不久后生育。采用双层膨体聚四氟乙烯(ePTFE,戈尔特斯)补片进行了腹腔镜疝修补术。该患者在脐膨出手术修复2年后经阴道分娩了一名足月健康婴儿。