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A Novel Surgical Technique Using Collagen-Based Artificial Dermis for Giant Omphalocele for which the Conventional Method was Ineffective: A Case Report| Abstract
ISSN: 2572-4983

Neonatal and Pediatric Medicine
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  • Case Report   
  • Neonat Pediatr Med,
  • DOI: 10.4172/2572-4983.1000215

A Novel Surgical Technique Using Collagen-Based Artificial Dermis for Giant Omphalocele for which the Conventional Method was Ineffective: A Case Report

Masaki Horiike1*, Tomohiro Kitada2, Kenji Santo3, Takuro Hashimoto3 and Satoshi Onishi3
1Department of Pediatric Surgery, Wakayama Medical Center, Wakayama, Japan
2Department of Surgery, Matsushitakai, Shiraniwa Hospital, Nara, Japan
3Department of Pediatric Surgery, Osaka City University Graduate School of Medicine, Osaka, Japan
*Corresponding Author : Masaki Horiike, Department of Pediatric Surgery, Wakayama Medical Center, Wakayama, Japan, Tel: +81-73-422 4171, Email: masakihoriike1031@gmail.com

Received Date: Apr 26, 2021 / Accepted Date: May 10, 2021 / Published Date: May 17, 2021

Abstract

A Giant Omphalocele (GO) with marked viscero-abdominal disproportion is associated with surgical difficulty and higher morbidity and mortality rates. Despite various treatment strategies, no consensus exists on optimal GO management. We report our experience of a neonate with a GO that overcame the major therapeutic challenges (including formation of an incomplete silo, silo infection, and jejunal perforation) and succeeded in abdominal wall closure by introducing the novel idea of using Collagen-based Artificial Dermis (CAD) for epithelization. In conclusion, the treatment with CAD for epithelialization can be considered in cases where it is extremely difficult to return the viscera in conventional management.

Keywords: Giant omphalocele; Silo infection; Jejunal perforation; Negative pressure wound therapy.

Citation: Horiike M, Kitada T, Santo K, Hashimoto T, Onishi S (2021) A Novel Surgical Technique Using Collagen-Based Artificial Dermis for Giant Omphalocele for which the Conventional Method was Ineffective: A Case Report. Neonat Pediatr Med 7:215. Doi: 10.4172/2572-4983.1000215

Copyright: © 2021 Horiike M, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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