PMC4823493_01
The hernia sac containing the whole liver and part of the large and small intestine.
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fig1
This firstborn neonate weighted 2.800 gr at birth and presented a giant omphalocele containing the whole liver and part of the large and small intestine (Figure 1).
PMC4823493_02
The acellular porcine dermal mesh was cut in a larger size (12 cm x 8 cm) than the ventral hernias' gap dimensions which were 6 cm x 3 cm.
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fig2
It was cut in a larger size (12 cm x 8 cm) and was secured to the rectus muscles with at least 3 cm overlap beyond the fascial margins using interrupted Gore-Tex 2.0 sutures every 2 cm (Figures 2 and 3).
The collagen matrix was positioned in an underlay technique and was secured in the rectus muscles with at least 3 cm overlap beyond the fascial margins using interrupted Gore-Tex 2.0 sutures every 2 cm.
CRIM2016-1828751.003.jpg
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fig3
It was cut in a larger size (12 cm x 8 cm) and was secured to the rectus muscles with at least 3 cm overlap beyond the fascial margins using interrupted Gore-Tex 2.0 sutures every 2 cm (Figures 2 and 3).
The hypoplastic fascial margins were stitched together, completely covering the mesh according to normal anatomic relations.
CRIM2016-1828751.004.jpg
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fig4
The hypoplastic fascial margins were stitched together, completely covering the mesh (Figure 4).