Results 141 to 150 of about 715 (180)
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Breastfeeding Success in Infants With Giant Omphalocele
Advances in Neonatal Care, 2012Infants born with a giant omphalocele often require multiple surgeries requiring a lengthy hospital stay. These vulnerable infants may experience a long period of being NPO (nothing by mouth), followed by slowly advancing to enteral feeds. Human milk is the ideal method of nutrition for all infants and should be used to initiate enteral feeds in ...
Diane L, Spatz, Katherine J, Schmidt
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The use of Alloderm in the closure of a giant omphalocele
Journal of Pediatric Surgery, 2006Giant 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.
Samuel M, Alaish, Eric D, Strauch
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Giant Omphalocele Complicated by 9P Minus Syndrome
Journal of the National Medical Association, 2021Omphalocele is characterized as a ventral wall defect in which there exists a midline herniation of abdominal viscera into the base of the umbilical cord. Fetuses with a diagnosis of this entity are at a significantly increased risk of having an aneuploidy, additional anomalies, or associations with other syndromes such as Beckwith Wiederman. Secondary
Gabrielle, Alexander +5 more
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Paint and wait management of giant omphaloceles
Seminars in Pediatric Surgery, 2019Management of the very large defect or those in patients with severe comorbidities has evolved to the use of methods that result in escharification and eventual skin coverage over the viscera. This treatment strategy employs principles that were described in the early 20th century.
Justin P, Wagner, Robert A, Cusick
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Repair of a giant omphalocele by a modified technique
Pediatric Surgery International, 2000Large omphaloceles that contain centrally herniated liver pose challenges to surgical closure, the most significant being the space limitation of the abdominal cavity. In addition, the "pedicled" nature of the liver on the inferior vena cava creates a predisposition to acute hepatic vascular outflow obstruction as the liver is reduced into the ...
M M, Harjai +4 more
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Sequential sac ligation for giant omphalocele
Journal of Pediatric Surgery, 1994The 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.
A R, Hong +4 more
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Pulmonary hypertension in giant omphalocele infants
Journal of Pediatric Surgery, 2014Pulmonary hypoplasia has been described in cases of giant omphalocele (GO), although pulmonary hypertension (PH) has not been extensively studied in this disorder. In the present study, we describe rates and severity of PH in GO survivors who underwent standardized prenatal and postnatal care at our institution.A retrospective chart review was ...
Emily A, Partridge +7 more
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Predictors of mortality in neonates with giant omphaloceles
Minerva Pediatrics, 2018This analysis performed a review of giant-omphaloceles to determine the predictors of mortality.PubMed and KoBson databases were searched for terms "giant," "omphalocele," and "mortality." Primary end points included mortality correlation with gestational age (GA), birth weight (BW), eviscerated organs, associated anomalies and management. To calculate
Amulya K, Saxena, Maja, Raicevic
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JAMA, 1963
THE OPERATION devised by Gross, in 1948, has made it possible to save the lives of many infants with enormous omphaloceles, in whom a primary closure of the abdominal wall in all of its layers is out of the question. Pointing out that forceful approximation of the widely separated recti resulted in intolerable increase in intra-abdominal pressure and ...
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THE OPERATION devised by Gross, in 1948, has made it possible to save the lives of many infants with enormous omphaloceles, in whom a primary closure of the abdominal wall in all of its layers is out of the question. Pointing out that forceful approximation of the widely separated recti resulted in intolerable increase in intra-abdominal pressure and ...
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External compression as initial management of giant omphaloceles
Journal of Pediatric Surgery, 1996The authors describe a noninvasive technique for the management of giant omphaloceles. Two patients with giant omphaloceles were managed with external compression. Dry sterile dressings were used, buttressed by an Ace bandage in the first case and by a handcrafted Velcro abdominal binder in the second. The binder was tightened every 2 or 3 days. Renal,
F G, DeLuca +4 more
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