A simple technique for the repair of a complex case of exomphalos major

Bedi, Nandini K.; Grewal, Alka G.

doi:10.5455/2349-2902.isj20140806

Cited by 2 publications

(7 citation statements)

References 15 publications

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“…The procedure was described in a previous publication, as the Kaul-Bedi technique. 1 After 8 months she was able to undergo the second stage operation, wherein the defect could now be covered by a dual prolene mesh. 1 The organs had been reduced into the abdominal cavity.…”

Section: Case Reportmentioning

confidence: 99%

“…1 After 8 months she was able to undergo the second stage operation, wherein the defect could now be covered by a dual prolene mesh. 1 The organs had been reduced into the abdominal cavity. The plan now was to reduce the defect gradually by reducing the size of the mesh till such time as when the muscles along the margins of the defect could be brought together in the midline without the help of a mesh.…”

Section: Case Reportmentioning

confidence: 99%

“…The incidence of exomphalos major is about 1 in 4000 to 5000 births and it is diagnosed antenatally by foetal ultrasonography. 1 The patient we presented in our previous publication was a 22-month old girl with a giant omphalocele having a defect with the vertical dimension of 12 cm and transverse dimension of 10 cm. The contents of this giant omphalocele were the entire liver, spleen, pancreas, part of stomach and duodenum, most of the small bowel, ascending, transverse and part of the descending colon.…”

Section: Introductionmentioning

confidence: 99%

“…The liver was globose and suspended on its blood supply. 1 This child underwent staged repair, the first of which was done by the Kaul-Bedi technique, as described in our previous publication. 1 The second stage surgery was done after 8 months to further reduce the contents into the expanding abdominal cavity.…”

Section: Introductionmentioning

confidence: 99%

“…1 This child underwent staged repair, the first of which was done by the Kaul-Bedi technique, as described in our previous publication. 1 The second stage surgery was done after 8 months to further reduce the contents into the expanding abdominal cavity. Contrary to our expectations, we were able to reduce the contents completely and close the defect with a PROVISC 3D TM dual sided Prolene mesh (LOTUS TM , Lotus Surgicals Pvt Ltd, Mumbai, India).…”

Section: Introductionmentioning

confidence: 99%

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Completion of a simple technique for the repair of a complex case of exomphalos major

K. Bedi,

G. Grewal

2023

Int Surg J

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In 2014 we published a procedure, the Kaul-Bedi technique, by which we used the epithelized covering of a giant exomphalos major, or hepato-omphalocele, to reduce the herniated organs and replace them into the abdominal cavity in stages. We published our technique when we were able to cover the defect with a dual PROVISC prolene mesh. We anticipated a long period of time before we would be able to bring about a primary closure of the abdominal wall defect. Contrary to our expectations, we were able to achieve a primary, complete, muscular closure of the defect within the next three years with removal of the mesh. We are presenting the stages of repair, discussing the complications encountered and the result achieved. We also discuss the advantages and the drawbacks of this procedure.

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Section: Case Reportmentioning

confidence: 99%

Section: Case Reportmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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