{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T09:52:12Z","timestamp":1781517132656,"version":"3.54.1"},"reference-count":14,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100016003","name":"Istanbul University Cerrahpa\u015fa","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100016003","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>In giant omphalocele cases, small abdominal cavity leads to high intraabdominal pressure during closure, making repair challenging. This study aimed to evaluate our staged compressive dressing technique and its outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Eighteen giant omphalocele cases treated with staged compressive dressing\/primary closure between 2014 and 2024 were retrospectively reviewed. All cases received compressive dressing every other day with wet sterile gauze and transparent adhesive surgical drapes from the first postnatal day until surgery to reduce intra-sac organs. Primary closure was performed after organ reduction.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Eighteen cases (Female\/Male: 10\/8) were included. Mean gestational age was 36.8\u2009\u00b1\u20091.7 weeks, birth weight 2988\u2009\u00b1\u2009603\u00a0g. Major cardiac anomaly was present in 16.7% and liver herniation in 83.3%. Mean defect diameter was 6.0\u2009\u00b1\u20091.2\u00a0cm. Mean time to surgery was 6.4\u2009\u00b1\u20095.1 days. Primary repair was successfully performed in all cases (100%). Operation was delayed in patients with cardiac anomaly (13.0\u2009\u00b1\u20099.2 vs. 5.3\u2009\u00b1\u20093.4 days,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.012). Seven patients (38.9%) had prolonged hospitalization (&gt;\u200920 days). One patient with cardiac anomaly died postoperatively. Mean hospital stay was 22.2\u2009\u00b1\u200911.0 days .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this single-center retrospective study, the staged compressive dressing technique appeared to be a feasible, simple, and potentially cost-effective method for giant omphalocele management. While we achieved primary closure in all cases without prosthetic materials, these findings require validation through larger multicenter studies and comparative trials before definitive conclusions can be drawn about superiority over alternative methods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00383-026-06494-4","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:55:15Z","timestamp":1781513715000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Staged compressive dressing method for primary giant omphalocele repair: a low-cost and successful strategy"],"prefix":"10.1007","volume":"42","author":[{"given":"Ali Ekber","family":"Hakalmaz","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rah\u015fan","family":"\u00d6zcan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ay\u015fe","family":"Karag\u00f6z","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T\u00fcrkan","family":"Rahimli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u015eenol","family":"Emre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P\u0131nar","family":"Kendigelen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gonca Topuzlu","family":"Tekant","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"issue":"5","key":"6494_CR1","doi-asserted-by":"publisher","first-page":"1461","DOI":"10.21037\/tp-20-94","volume":"10","author":"CM Bence","year":"2021","unstructured":"Bence CM, Wagner AJ (2021) Abdominal wall defects. Transl Pediatr 10(5):1461\u20131469. https:\/\/doi.org\/10.21037\/tp-20-94","journal-title":"Transl Pediatr"},{"issue":"12","key":"6494_CR2","doi-asserted-by":"publisher","first-page":"1981","DOI":"10.1007\/s00383-022-05244-6","volume":"38","author":"K Kondra","year":"2022","unstructured":"Kondra K, Jimenez C, Stanton E et al (2022) Meeting in the middle: pediatric abdominal wall reconstruction for omphalocele. Pediatr Surg Int 38(12):1981\u20131987. https:\/\/doi.org\/10.1007\/s00383-022-05244-6","journal-title":"Pediatr Surg Int"},{"issue":"2","key":"6494_CR3","doi-asserted-by":"publisher","first-page":"388","DOI":"10.1016\/j.jss.2015.03.060","volume":"198","author":"AC Akinkuotu","year":"2015","unstructured":"Akinkuotu AC, Sheikh F, Olutoye OO et al (2015) Giant omphaloceles: surgical management and perinatal outcomes. J Surg Res 198(2):388\u2013392. https:\/\/doi.org\/10.1016\/j.jss.2015.03.060","journal-title":"J Surg Res"},{"issue":"9","key":"6494_CR4","doi-asserted-by":"publisher","first-page":"1576","DOI":"10.1016\/j.jpedsurg.2020.11.031","volume":"56","author":"X Huang","year":"2021","unstructured":"Huang X, Huang H, Liang Y et al (2021) Modified sequential sac ligation and staged closure technique for the management of giant omphalocele. J Pediatr Surg 56(9):1576\u20131582. https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.11.031","journal-title":"J Pediatr Surg"},{"issue":"5","key":"6494_CR5","doi-asserted-by":"publisher","first-page":"1068","DOI":"10.1016\/j.jpedsurg.2020.12.003","volume":"56","author":"C Abello","year":"2021","unstructured":"Abello C, Harding A, Rios CP, Guelfand A M (2021) Management of giant omphalocele with a simple and efficient nonsurgical silo. J Pediatr Surg 56(5):1068\u20131075. https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.12.003","journal-title":"J Pediatr Surg"},{"issue":"10","key":"6494_CR6","doi-asserted-by":"publisher","first-page":"1908","DOI":"10.1016\/j.jpedsurg.2018.04.036","volume":"53","author":"N Roux","year":"2018","unstructured":"Roux N, Jakubowicz D, Salomon L et al (2018) Early surgical management for giant omphalocele: results and prognostic factors. J Pediatr Surg 53(10):1908\u20131913. https:\/\/doi.org\/10.1016\/j.jpedsurg.2018.04.036","journal-title":"J Pediatr Surg"},{"issue":"2","key":"6494_CR7","doi-asserted-by":"publisher","first-page":"375","DOI":"10.1016\/j.clp.2012.04.008","volume":"39","author":"S Islam","year":"2012","unstructured":"Islam S (2012) Advances in surgery for abdominal wall defects: gastroschisis and omphalocele. Clin Perinatol 39(2):375\u2013386. https:\/\/doi.org\/10.1016\/j.clp.2012.04.008","journal-title":"Clin Perinatol"},{"issue":"1","key":"6494_CR8","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.jpedsurg.2007.09.051","volume":"43","author":"FC van Eijck","year":"2008","unstructured":"van Eijck FC, de Blaauw I, Bleichrodt RP et al (2008) Closure of giant omphaloceles by the abdominal wall component separation technique in infants. J Pediatr Surg 43(1):246\u2013250. https:\/\/doi.org\/10.1016\/j.jpedsurg.2007.09.051","journal-title":"J Pediatr Surg"},{"issue":"12","key":"6494_CR9","doi-asserted-by":"publisher","first-page":"2404","DOI":"10.1016\/j.jpedsurg.2018.08.018","volume":"53","author":"KA Kogut","year":"2018","unstructured":"Kogut KA, Fiore NF (2018) Nonoperative management of giant omphalocele leading to early fascial closure. J Pediatr Surg 53(12):2404\u20132408. https:\/\/doi.org\/10.1016\/j.jpedsurg.2018.08.018","journal-title":"J Pediatr Surg"},{"issue":"4","key":"6494_CR10","doi-asserted-by":"publisher","first-page":"e000284","DOI":"10.1136\/wjps-2021-000284","volume":"20","author":"B Lelj-Garolla","year":"2021","unstructured":"Lelj-Garolla B, Campbell L, Kanungo J, Yoshida N (2021) Use of a neoprene binding to reduce giant omphaloceles followed by delayed closure. World J Pediatr Surg 20(4):e000284. https:\/\/doi.org\/10.1136\/wjps-2021-000284","journal-title":"World J Pediatr Surg"},{"issue":"4","key":"6494_CR11","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1016\/j.jpedsurg.2020.08.019","volume":"56","author":"A Barrios Sanjuanelo","year":"2021","unstructured":"Barrios Sanjuanelo A, Abell\u00f3 Munarriz C, Cardona-Arias JA (2021) Systematic review of mortality associated with neonatal primary staged closure of giant omphalocele. J Pediatr Surg 56(4):678\u2013685. https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.08.019","journal-title":"J Pediatr Surg"},{"key":"6494_CR12","doi-asserted-by":"publisher","first-page":"1053568","DOI":"10.3389\/fped.2022.1053568","volume":"24","author":"M Nissen","year":"2022","unstructured":"Nissen M, Romanova A, Weigl E et al (2022) Vacuum-assisted staged omphalocele reduction: a preliminary report. Front Pediatr 24:10:1053568. https:\/\/doi.org\/10.3389\/fped.2022.1053568","journal-title":"Front Pediatr"},{"key":"6494_CR13","doi-asserted-by":"publisher","first-page":"940289","DOI":"10.3389\/fped.2022.940289","volume":"9","author":"TX Liu","year":"2022","unstructured":"Liu TX, Du LZ, Ma XL, Chen Z, Shi LP (2022) Giant omphalocele associated pulmonary hypertension: a retrospective study. Front Pediatr 9:10:940289. https:\/\/doi.org\/10.3389\/fped.2022.940289","journal-title":"Front Pediatr"},{"issue":"9","key":"6494_CR14","doi-asserted-by":"publisher","first-page":"1866","DOI":"10.1016\/j.jpedsurg.2020.04.019","volume":"55","author":"HR Nolan","year":"2020","unstructured":"Nolan HR, Wagner ML, Jenkins T, Lim FY (2020) Outcomes in the giant omphalocele population: a single center comprehensive experience. J Pediatr Surg 55(9):1866\u20131871. https:\/\/doi.org\/10.1016\/j.jpedsurg.2020.04.019","journal-title":"J Pediatr Surg"}],"container-title":["Pediatric Surgery International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-026-06494-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00383-026-06494-4","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00383-026-06494-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T08:55:17Z","timestamp":1781513717000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00383-026-06494-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,15]]},"references-count":14,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["6494"],"URL":"https:\/\/doi.org\/10.1007\/s00383-026-06494-4","relation":{},"ISSN":["1437-9813"],"issn-type":[{"value":"1437-9813","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,15]]},"assertion":[{"value":"2 April 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 June 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 June 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"256"}}