Exomphalos

Exomphalos

Exomphalos describes a central abdominal wall defect in which prolapsed viscera are covered in a thin, three-layered membrane (peritoneum, Wharton’s jelly and amnion) in continuity with the umbilical cord. Exomphalos minor (<5 /uni00A0 cm, liver not involved) is commonly associated with other anomalies ( Table 18.1 ) and the defect is easily closed. In exomphalos major ( Figure 18.19 ) the sac can be dressed with a topical antibacterial agent (e.g. manuka honey , silver sulfadiazine), allowing epithelialisation Soave described in 1964. and later closure of the ventral hernia. If an early closure of an exomphalos major is attempted, close observation for an abdominal compartment syndrome is mandated.

Figure 18.18 Gastroschisis in a preformed silo. Figure 18.19 Exomphalos major.

Exomphalos

Exomphalos describes a central abdominal wall defect in which prolapsed viscera are covered in a thin, three-layered membrane (peritoneum, Wharton’s jelly and amnion) in continuity with the umbilical cord. Exomphalos minor (<5 /uni00A0 cm, liver not involved) is commonly associated with other anomalies ( Table 18.1 ) and the defect is easily closed. In exomphalos major ( Figure 18.19 ) the sac can be dressed with a topical antibacterial agent (e.g. manuka honey , silver sulfadiazine), allowing epithelialisation Soave described in 1964. and later closure of the ventral hernia. If an early closure of an exomphalos major is attempted, close observation for an abdominal compartment syndrome is mandated.

Figure 18.18 Gastroschisis in a preformed silo. Figure 18.19 Exomphalos major.

Exomphalos

Exomphalos describes a central abdominal wall defect in which prolapsed viscera are covered in a thin, three-layered membrane (peritoneum, Wharton’s jelly and amnion) in continuity with the umbilical cord. Exomphalos minor (<5 /uni00A0 cm, liver not involved) is commonly associated with other anomalies ( Table 18.1 ) and the defect is easily closed. In exomphalos major ( Figure 18.19 ) the sac can be dressed with a topical antibacterial agent (e.g. manuka honey , silver sulfadiazine), allowing epithelialisation Soave described in 1964. and later closure of the ventral hernia. If an early closure of an exomphalos major is attempted, close observation for an abdominal compartment syndrome is mandated.

Figure 18.18 Gastroschisis in a preformed silo. Figure 18.19 Exomphalos major.