Results 141 to 150 of about 205,246 (183)
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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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Prenatal detection of pulmonary hypoplasia in giant omphalocele
Pediatric Surgery International, 2007Respiratory insufficiency has sometimes been reported in giant omphalocele. To determine whether ultrasonic fetal lung measurements including lung/thorax transverse area ratio (L/T) and chest/trunk length ratio (C/T) may be useful in predicting associated pulmonary hypoplasia, 28 fetuses with abdominal wall defects between 1991 and 2003 were reviewed ...
Toshio Sawai +2 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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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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Amnion inversion in the treatment of giant omphalocele
Journal of Pediatric Surgery, 1991Operative repair of giant omphaloceles remains a technical challenge to close the wide abdominal wall defect. Currently, most surgeons remove the amnion to approximate the linea alba and/or skin edges or to suture prosthetic material to the abdominal wall and cover the defect with skin flaps.
A A, de Lorimier +2 more
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Systemic hypertension in giant omphalocele: An underappreciated association
Journal of Pediatric Surgery, 2015To evaluate the incidence, severity and duration of systemic hypertension in infants born with giant omphalocele (GO).A retrospective review of patients born from 2003 through 2013 with a GO or intestinal atresia (control population) and managed at a single institution was performed.
Emily A Partridge +2 more
exaly +3 more sources
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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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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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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