背景:脐膨出是一种腹壁出生缺陷,巨大的脐膨出(GO)被定义为直径>5cm或含有突出的肝脏的脐膨出。GO通常是分阶段处理的,在这种情况下,在筒仓减少期间,在轴环和皮肤边缘的缝合部位发生开裂,使用合成可吸收网状物修复。
方法:一名女婴出生36周,GO直径为8厘米,多个器官如小肠突出,盲肠,附录,还有整个肝脏.即使在GO筒仓的分阶段修复技术之后,筒仓环和皮肤边缘之间的伤口裂开,逐渐复位失败。
方法:直径8厘米的GO,这是在产前超声检查中发现的。
方法:修复缺损。小肠和肝脏仍然脱垂,有严重的粘连。粘连分解后,使用组织基质修复腹壁的肌肉层,但是皮肤无法修复。第二次手术后,缺损的伤口被尽可能地消毒。
结果:腹壁缺损完全修复,无残留并发症。
结论:使用无细胞猪真皮基质修复GO可以被认为是可行的治疗选择。
BACKGROUND: An omphalocele is an abdominal wall birth defect, and a giant omphalocele (GO) is defined as an omphalocele having a diameter >5 cm or containing a herniated liver. GOs are usually treated in stages and in this
case, during the silo reduction, dehiscence occurred at the suture site of the axis ring and skin edge, which was repaired using synthetic absorbable mesh.
METHODS: A girl infant was born at 36 weeks with a GO of 8 cm diameter, and herniated multiple organs such as the small bowel, cecum, appendix, and the entire liver. Even after the staged repair technique for the GO silo, wound dehiscence between the ring of the silo and the edge of the skin occurred and gradual reduction failed.
METHODS: A GO of 8 cm diameter, which was found during prenatal ultrasonography.
METHODS: Revision was performed to repair the defect. The small bowel and liver were still prolapsed, and there were severe adhesions. After adhesiolysis, the muscle layer of the abdominal wall was repaired using the tissue matrix, but the skin could not be repaired. After the second operation, the defect wound was dressed as sterilely as possible.
RESULTS: The abdominal wall defect was repaired completely; there were no residual complications.
CONCLUSIONS: Repair of GOs using an acellular porcine dermal matrix can be considered a viable treatment option.