Journal of Pediatric Surgery
Volume 30, Issue 6 , Pages 771-776 , June 1995

Nonoperative initial management versus silon chimney for treatment of giant omphalocele

  • Jed G Nuchtern

      Affiliations

    • Department of Surgery, Children's Hospital and Medical Center, Seattle, WA, USA
    • The University of Washington School of Medicine, Seattle, WA, USA
    • ,
  • Richard Baxter

      Affiliations

    • Department of Surgery, Children's Hospital and Medical Center, Seattle, WA, USA
    • The University of Washington School of Medicine, Seattle, WA, USA
    • ,
  • Edwin I Hatch Jr

      Affiliations

    • Corresponding Author InformationAddress reprints requests to Edwin I. Hatch, Jr, MD, Department of Surgery, Children's Hospital and Medical Center, PO Box C-5371, Seattle, WA 98105.
    • Department of Surgery, Children's Hospital and Medical Center, Seattle, WA, USA
    • The University of Washington School of Medicine, Seattle, WA, USA

References 

  1. Schwartz MZ, Tyson KRT, Milliorn K, et al.  Staged reduction using a Silastic sac is the treatment of choice for large congenital abdominal wall defects. J Pediatr Surg. 1983;18:713–717
  2. Gross RE. A new method for surgical treatment of large omphaloceles. Surgery. 1948;24:277–292
  3. Schuster SR. A new method for the staged repair of large omphaloceles. Surg Gynecol Obstet. 1967;125:837–850
  4. Allen RG, Wrenn EL. Silon as a sac in the treatment of omphalocele and gastroschisis. J Pediatr Surg. 1969;4:3–8
  5. Rubin SZ, Ein SH. Experience with 55 silon pouches. J Pediatr Surg. 1976;11:803–806
  6. Cunningham AA. Exomphalos. Arch Dis Child. 1956;31:144–151
  7. Grob M. Conservative treatment of exomphalos. Arch Dis Child. 1963;38:148–150
  8. Soave F. Conservative treatment of giant omphalocele. Arch Dis Chid. 1963;38:130–134
  9. Hatch EJ, Baxter R. Surgical options in the management of large omphaloceles. Am J Surg. 1987;153:449–452
  10. Adam AS, Corbally MT, Fitzgerald RJ. Evaluation of conservative therapy for examphalos. Surg Gynecol Obstet. 1991;172:394–396
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  13. Molenaar JC, Tibboel D. Gastroschisis and omphalocele. World J Surg. 1993;17:337–341
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  16. Nakayama DK, Mutich R, Motoyama EK. Pulmonary dysfunction after primary closure of an abdominal wall defect and its improvement with bronchodilators. Pediatr Pulmonol. 1992;12:174–180
  17. Yaster M, Buck JR, Dudgeon DL, et al.  Hemodynamic effects of primary closure of omphalocele/gastroschisis in human newborns. Anesthesiology. 1988;69:84–88
  18. Canty T, Collins DL. Primary fascial closure in infants with gastroschisis and omphalocele: A superior approach. J Pediatr Surg. 1983;18:707–712
  19. Carlton GR, Towne BH, Bryan RW, et al.  Obstruction of the suprahepatic inferior vena cava as a complication of giant omphalocele repair. J Pediatr Surg. 1979;14:733–734
  20. Bruce J, Afshani E, Karp MP, et al.  Omphalocele with pyloroduodenal obstruction by extrinsic hepatic compression: A case report. J Pediatr Surg. 1988;23:1018–1020
  21. Towne BH, Peters G, Chang JHT. The problem of “giant” omphalocele. J Pediatr Surg. 1980;15:543–548
  22. Ein SH, Shandling B. A new nonoperative treatment of large omphaloceles with a polymer membrane. J Pediatr Surg. 1978;13:255–257
  23. Moore MA, Moore EE, Jones TN, et al.  TEN vs TPN following major abdominal trauma—Reduced septic morbidity. J Trauma. 1989;29:916–923
  24. Fagan DG, Pritchard JS, Clarkson TW, et al.  Organ mercury levels in infants with omphaloceles treated with organic mercurial antiseptic. Arch Dis Child. 1977;52:962–964
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  26. Mahour GH. Intact omphalocele: Perennial dilemma of operative or conservative management. Am J Surg. 1974;128:419–429

PII: 0022-3468(95)90745-9

Journal of Pediatric Surgery
Volume 30, Issue 6 , Pages 771-776 , June 1995

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