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Repair of a Giant Omphalocele in an Infant With a Pericardial Implant Crosslinked With Oligourethane
Author(s) -
VargasMancilla Juan,
TorreroSerrato María A.,
PalaciosRodríguez Aarón J.,
Rodríguezde León Gloria B.,
MontesRodríguez Metzeri I.,
MendozaNovelo Birzabith
Publication year - 2018
Publication title -
artificial organs
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 76
eISSN - 1525-1594
pISSN - 0160-564X
DOI - 10.1111/aor.13132
Subject(s) - omphalocele , medicine , abdominoplasty , implant , surgery , abdominal wall , abdominal wall defect , decellularization , pericardium , plastic surgery , fascia , biomedical engineering , pregnancy , fetus , genetics , tissue engineering , biology
The giant omphalocele (GO) represents a challenge for the pediatric surgeon in its management and wall abdominoplasty. Here, we report the outcome of a case in which a GO in a newborn patient was repaired with an implant derived from decellularized bovine pericardium crosslinked with oligourethane. The implantation time was extended for 6 months. This was then followed up by the retrieval of the implant and the subsequent reconstruction in a second surgical time by the closure of the abdominal wall fascia. A short hospital stay, early integration into the patient's family environment, as well as early onset of the oral route without special care of the implant or reconstructed wall nor food restrictions were observed. The reduced presence of the complications described in the literature after application of surgical meshes suggests that this implant can be an effective and safe alternative method in the treatment of abdominal wall defects such as GO.