Year 2018 Vol. 26 No 5

REVIEWS

A.V. ZAPALIANSKI, O.V. KANDRATSYEVA, A.A. SVIRSKY

SURGICAL METHODS OF TREATMENT OF GIANT OMPHALOCELE IN CHILDREN

Republican Scientific and Practical Center for Pediatric Surgery, Minsk,
The Republic of Belarus

The review describes various options of classical and modern techniques of surgical treatment of congenital malformation of the anterior abdominal wall – the giant omphalocele. The main existing techniques are presented, such as primary, staged and delayed closure of the defect. Particular attention is paid to such perspective areas of the staged surgical treatment as vacuum-assisted closure, using of tissue expanders and systems with active external traction. The advantages and disadvantages of each technique are indicated and a comparative analysis of their effectiveness is carried out. Examples of new surgical options for correction of the malformation are presented, based on the achievements of modern bioengineering researches and innovative technologies. The prospects of the using the biodegradable biomaterials, such as «Alloderm» and submucosal layer of the small intestine for reconstruction of the abdominal wall and primary closure of the defect are analyzed. The review details various approaches of reconstructive surgical treatment of large abdominal wall defects in older children after the formation of ventral hernia in newborns. The application experience of the component separation technique (CST) for abdominoplasty in the period of newborns and older age is analyzed, and also the ways to improve the cosmetic and physiological results of the treatment are outlined.

Keywords: giant omphalocele, newborn, abdominal wall defect, surgical treatment, staged defect closure, delayed defect closure
p. 594-604 of the original issue
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Address for correspondence:
220013, The Republic of Belarus,
Minsk, Nezavisimosti Ave., 64,
Republican Scientific and Practical
Center for Pediatric Surgery,
Pediatric Surgery Unit,
Tel. mobile: +375 29 141 91 29,
e-mail: andrei.zapalianski@gmail.com,
Andrei V. Zapalianski
Information about the authors:
Zapalianski Andrei V., PhD, Pediatric Surgeon, Republican Scientific and Practical Center for Pediatric Surgery, Minsk, Republic of Belarus.
http://orcid.org/0000-0001-6854-7625
Kandratsyeva Volha V., PhD, Pediatric Surgeon, Republican Scientific and Practical Center for Pediatric Surgery, Minsk, Republic of Belarus.
http://orcid.org/0000-0003-1622-9435
Svirsky Aliaksandr A., PhD, Associate Professor, Head of the Pediatric Surgery Unit, Republican Scientific and Practical Center for Pediatric Surgery, Minsk, Republic of Belarus.
http://orcid.org/0000-0001-6323-6537
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