Elastic bandaging facilitates primary closure of large ventral hernias due to giant omphaloceles


Sander S., Elicevik M., Unal M.

PEDIATRIC SURGERY INTERNATIONAL, vol.17, no.8, pp.664-667, 2001 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 17 Issue: 8
  • Publication Date: 2001
  • Doi Number: 10.1007/s003830100020
  • Journal Name: PEDIATRIC SURGERY INTERNATIONAL
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.664-667
  • Istanbul University-Cerrahpasa Affiliated: Yes

Abstract

Large ventral hernias (VH) following conservative treatment of a giant omphalocele Lire a major challenge for pediatric Surgeons. Although primary closure is accepted as the ideal procedure. these defects often require multi-staged operations. prosthetic support. and postoperative mechanical ventilation. Between 1990 and 2000. 34 patients with omphaloceles were admitted to our unit and 6 of them (17.6%) who had giant omphaloceles were treated conservatively. In the same period. a 5-year-old girl was admitted with a huge VH following application of subcutaneous tissue expanders in another center. In these 7 patients (6 girls. 1 boy. average age 20 months) we used preoperative elastic handaging for facilitating primary Closure. In all cases primary Closure was Successful following 3 to 6 weeks of bandaging. We did not use prosthetic material or post- operative mechanical ventilation in any case. Follow-up periods ranged from 2 to 10 years. and there were no recurrences or other problems. Out limited experience reveals that preoperative elastic bandaging is a safe and effective procedure for facilitating primary closure of the large VHs.