Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique
The aim of this article is to present a new Technique of giant omphaloceles repair in neonatal period and also later in life in patients that the primary repair has been failed. From 1999 to 2006, seven consecutive children (male/female ratio 0.4) with giant omphalocele (n=6) and Gastroschesis (n=2)...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Tehran University of Medical Sciences
2012-06-01
|
| Series: | Acta Medica Iranica |
| Subjects: | |
| Online Access: | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/21199.pdf&manuscript_id=21199 |
| _version_ | 1828857090810052608 |
|---|---|
| author | Azadeh Fallahi Mehrdad Soleimani Maliheh Kadivar Arianeb Mehrabi Valiollah Mehrabi Nazila Khalilzadeh |
| author_facet | Azadeh Fallahi Mehrdad Soleimani Maliheh Kadivar Arianeb Mehrabi Valiollah Mehrabi Nazila Khalilzadeh |
| author_sort | Azadeh Fallahi |
| collection | DOAJ |
| description | The aim of this article is to present a new Technique of giant omphaloceles repair in neonatal period and also later in life in patients that the primary repair has been failed. From 1999 to 2006, seven consecutive children (male/female ratio 0.4) with giant omphalocele (n=6) and Gastroschesis (n=2) were underwent this new operation in our center. In this technique, there were two operations. The mean of hospital stay was 38 days (range, 23-42 days), and full enteral feeding was achieved on the 8 to 25 postoperative day (Mean, 14 day). The final closure, in all patients was achieved between the 14 to 32 days after the first operation (Mean, 21 day). Mechanical ventilation was necessary for the mean of 5 days (range, 2-8 days). All patients are alive and have no complication due to the operation (1 month-7 years). Giant omphalocele and Gastroschesis can be safely repaired. The placement of an intraperitoneal tissue expander and traction of abdominal muscles can create the needed space for closure in several weeks in patients with giant omphalocele/ Gastroschesis. The aim of this article is to present a new Technique of giant omphaloceles repair in neonatal period and also later in life in patients that the primary repair has been failed. From 1999 to 2006, seven consecutive children (male/female ratio 0.4) with giant omphalocele (n=6) and Gastroschesis (n=2) were underwent this new operation in our center. In this technique, there were two operations. The mean of hospital stay was 38 days (range, 23-42 days), and full enteral feeding was achieved on the 8 to 25 postoperative day (Mean, 14 day). The final closure, in all patients was achieved between the 14 to 32 days after the first operation (Mean, 21 day). Mechanical ventilation was necessary for the mean of 5 days (range, 2-8 days). All patients are alive and have no complication due to the operation (1 month-7 years). Giant omphalocele and Gastroschesis can be safely repaired. The placement of an intraperitoneal tissue expander and traction of abdominal muscles can create the needed space for closure in several weeks in patients with giant omphalocele/ Gastroschesis. |
| first_indexed | 2024-12-13T01:30:03Z |
| format | Article |
| id | doaj.art-f575d7b20ccc4155a726fc250c98ce86 |
| institution | Directory Open Access Journal |
| issn | 0044-6025 0173-5969 |
| language | English |
| last_indexed | 2024-12-13T01:30:03Z |
| publishDate | 2012-06-01 |
| publisher | Tehran University of Medical Sciences |
| record_format | Article |
| series | Acta Medica Iranica |
| spelling | doaj.art-f575d7b20ccc4155a726fc250c98ce862022-12-22T00:04:02ZengTehran University of Medical SciencesActa Medica Iranica0044-60250173-59692012-06-01506388394Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New TechniqueAzadeh FallahiMehrdad SoleimaniMaliheh KadivarArianeb MehrabiValiollah MehrabiNazila KhalilzadehThe aim of this article is to present a new Technique of giant omphaloceles repair in neonatal period and also later in life in patients that the primary repair has been failed. From 1999 to 2006, seven consecutive children (male/female ratio 0.4) with giant omphalocele (n=6) and Gastroschesis (n=2) were underwent this new operation in our center. In this technique, there were two operations. The mean of hospital stay was 38 days (range, 23-42 days), and full enteral feeding was achieved on the 8 to 25 postoperative day (Mean, 14 day). The final closure, in all patients was achieved between the 14 to 32 days after the first operation (Mean, 21 day). Mechanical ventilation was necessary for the mean of 5 days (range, 2-8 days). All patients are alive and have no complication due to the operation (1 month-7 years). Giant omphalocele and Gastroschesis can be safely repaired. The placement of an intraperitoneal tissue expander and traction of abdominal muscles can create the needed space for closure in several weeks in patients with giant omphalocele/ Gastroschesis. The aim of this article is to present a new Technique of giant omphaloceles repair in neonatal period and also later in life in patients that the primary repair has been failed. From 1999 to 2006, seven consecutive children (male/female ratio 0.4) with giant omphalocele (n=6) and Gastroschesis (n=2) were underwent this new operation in our center. In this technique, there were two operations. The mean of hospital stay was 38 days (range, 23-42 days), and full enteral feeding was achieved on the 8 to 25 postoperative day (Mean, 14 day). The final closure, in all patients was achieved between the 14 to 32 days after the first operation (Mean, 21 day). Mechanical ventilation was necessary for the mean of 5 days (range, 2-8 days). All patients are alive and have no complication due to the operation (1 month-7 years). Giant omphalocele and Gastroschesis can be safely repaired. The placement of an intraperitoneal tissue expander and traction of abdominal muscles can create the needed space for closure in several weeks in patients with giant omphalocele/ Gastroschesis.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/21199.pdf&manuscript_id=21199Giant OmphaloceleGastroschesisSurgical RepairCamel Litter Method |
| spellingShingle | Azadeh Fallahi Mehrdad Soleimani Maliheh Kadivar Arianeb Mehrabi Valiollah Mehrabi Nazila Khalilzadeh Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique Acta Medica Iranica Giant Omphalocele Gastroschesis Surgical Repair Camel Litter Method |
| title | Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique |
| title_full | Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique |
| title_fullStr | Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique |
| title_full_unstemmed | Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique |
| title_short | Staged Repair of Giant Recurrent Omphalocele and Gastroschesis “Camel-Litter Method”-A New Technique |
| title_sort | staged repair of giant recurrent omphalocele and gastroschesis camel litter method a new technique |
| topic | Giant Omphalocele Gastroschesis Surgical Repair Camel Litter Method |
| url | http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/21199.pdf&manuscript_id=21199 |
| work_keys_str_mv | AT azadehfallahi stagedrepairofgiantrecurrentomphaloceleandgastroschesiscamellittermethodanewtechnique AT mehrdadsoleimani stagedrepairofgiantrecurrentomphaloceleandgastroschesiscamellittermethodanewtechnique AT malihehkadivar stagedrepairofgiantrecurrentomphaloceleandgastroschesiscamellittermethodanewtechnique AT arianebmehrabi stagedrepairofgiantrecurrentomphaloceleandgastroschesiscamellittermethodanewtechnique AT valiollahmehrabi stagedrepairofgiantrecurrentomphaloceleandgastroschesiscamellittermethodanewtechnique AT nazilakhalilzadeh stagedrepairofgiantrecurrentomphaloceleandgastroschesiscamellittermethodanewtechnique |