PMC8169269_01
Giant omphalocele containing a significant portion of the liver.
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fig1
At birth, examination of the abdomen revealed a large omphalocele (app. 8 cm in diameter) with an intact membrane containing part of the liver and small bowel loops (Figure 1).
The omphalocele after the first stage of the procedure.
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The content of the sac was gently reduced into the abdominal cavity, and the remaining membrane was reattached using isolated nonabsorbable suture at the abdominal wall (Figure 2).
Skin necrosis with wound dehiscence and exposure of the Gore-Tex mesh.
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PMC8169269_02
The abdominal defect through the NPWT. Initial aspect after the wound dehiscence (a) and after each of the 7 dressings (b-h).
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At day 50 (28 days of NPWT), we were able to remove the Gore-Tex mesh and closed the wound (Figure 4).
The wound at the time of discharge from the hospital. The abdominal wall was closed with only a small skin defect covered by granulation.
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fig5
The patient was discharged 10 days later (Figure 5).