Неонатальная и детская медицина

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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

Masaki Horiike, Tomohiro Kitada, Kenji Santo, Takuro Hashimoto, Satoshi Onishi

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.