Hong A R, Sigalet D L, Guttman F M, Laberge J M, Croitoru D P
Department of Pediatric Surgery, Montreal Children's Hospital, Quebec, Canada.
J Pediatr Surg. 1994 Mar;29(3):413-5. doi: 10.1016/0022-3468(94)90581-9.
The authors describe a technique for the management of giant omphalocele in which the sac is not resected, but used to sequentially reduce the contents into the abdominal cavity. Three patients were treated in this fashion. Delayed primary fascial closure was achieved in two. The third patient did not have complete reduction after 3 weeks, and temporary placement of a silastic sheet was required. The sac remained intact in all three cases, and neither infection nor injury to the abdominal contents occurred. This technique has the advantages of maintaining an intact membrane and avoiding the initial operative placement of a prosthetic silo in these sometimes critically ill neonates.
作者描述了一种治疗巨大脐膨出的技术，即在该技术中不切除囊膜，而是用其将内容物逐步还纳入腹腔。三名患者接受了这种治疗方式。其中两名患者实现了延迟一期筋膜闭合。第三名患者在3周后未能完全还纳，需要临时放置硅橡胶片。在所有三例中囊膜均保持完整，且未发生腹腔内容物感染或损伤。该技术具有保持膜完整以及避免在这些有时病情危急的新生儿中初始手术放置人工腹腔的优点。
