Initial management of omphalocele using negative pressure wound therapy (NPWT) in Ecuador: A case series
Keywords:Abdominal wall defect, Negative pressure wound therapy (NPWT), Omphalocele
Background: Omphalocele is an abdominal wall defect. Herniated organs can be small or large intestine, liver, and stomach. The use of conventional techniques has always been a challenge for the surgeon. The goal of using NPWT is to provide a quick, simple, and effective method to reduce the eviscerated content and enlarge the visceral continent.
Case Presentation: The record of 3 patients with omphalocele was reviewed. There were two females and one male neonate. All the babies were born by C-section and were antenatally diagnosed for omphalocele. In all cases, NPWT was applied. Two cases were discharged in good condition while one patient with complex cardiac defects succumbed.
Conclusion: NPWT is an effective and safe alternative for omphalocele management.
Aldridge B, Ladd AP, Kepple J, WingleT, Ring C, Kokoska ER. Negative pressure wound therapy for initial management of giant omphalocele. Am J Surg. 2016; 211:605-9.
Kilbride KE, Cooney DR, Custer MD. Vacuum-assisted closure: a new method for treating patients with giant omphalocele. J Pediatr Surg. 2006; 41:212-5.
Binet A, Gelas T, Jochault-Ritz S, Noizet O, Bory JP, Lefebvre F, et al. VAC® therapy a therapeutic alternative in giant omphalocele treatment: a multicenter study. J Plast Reconstr Aesthet Surg. 2013; 66:e373-5.
David VL, Neagu MC, Sosoi A, Stanciulescu MC, Horhat FG, Stroescu RF, et al. Combined staged surgery and Negative-Pressure Wound Therapy for closure of a giant omphalocele. Case Rep Pediatr. 2021; 2021:5234862.
McBride CA, Stockton K, Storey K, Kimble RM. Negative pressure wound therapy facilitates closure of large congenital abdominal wall defects. Pediatr Surg Int. 2014; 30:1163-8.
Sorolla JP, Cabello R, Fontbona M, Dagnino B, Obaid D, Giugliano C. [Experience in management of wounds and abdominal wall defects with continuous negative pressure in newborns]. Rev Chil Cir Plast. 2010; 8:57-62. Article in Spanish.
Wilcinski SL. Use of a vacuum-assisted device in a neonate with a giant omphalocele. Adv Neonatal Care. 2010; 10:119-26.
Akinkuotu AC, Sheikh F, Olutoye OO, Lee TC, Fernandes CJ, Welty SE, et al. Giant omphaloceles: surgical management and perinatal outcomes. J Surg Res. 2015; 198:388-92.
Lorca García C, Pérez García A, Hortelano Otero A, Centeno Silva JA, López Blanco E, Gutiérrez Ontalvilla P, et al. [Use of vacuum therapy at La Fe Children's Hospital in Valencia (Spain): experience and results]. Cir Plást Iberolatinoam. 2011; 37:S41-S52. Article in Spanish.
Carrera Matute J, López Vidaurre M, Santos Luna H, Hernández F, Sánchez Jarquín M. [Use of Vacuum Therapy System in closure of Complicated Gastroschisis]. Rev Cir Guatemalteco. 2015; 21:60-2. Article in Spanish.
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Copyright (c) 2022 Daniel Acosta-Farina, Johan Aguayo-Vistin, Cristhian Cedeño-Moreira, Vicente Salinas-Salinas, Verónica Polit-Guerrero, Jorge Oliveros-Rivero, Daniel Acosta-Bowen
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