Staged closure of a giant omphalocele with amnion preservation, modified technique

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Figure 1
Picture of day one of life showing the giant omphalocele, containing liver and bowel.
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Figure 2
Intraoperative pictures showing A) the circumferential exposure of the abdominal wall fascia: the amnion wall fascia the amnion is retracted medially and the skin is dissected from abdominal wall and B) the one sheet of the silo suture to the fascia with 2 rows of interrupted suture to distribute the tension and minimize ischemia.
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Figure 3
This Picture was taken 4 weeks after removing the Silo with daily application of sulfadiazine. It demonstrates the intact dry amnion with healing skin edges all around.