{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:47:54Z","timestamp":1765889274119,"version":"3.37.3"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T00:00:00Z","timestamp":1708387200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100012921","name":"Royal College of Surgeons in Ireland","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100012921","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Ir J Med Sci"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Exomphalos anomaly is defined as the herniation of abdominal viscera into the base of the umbilical cord, with only a membranous sac covering these contents. It has an incidence of approximately 1 in 4000\u20136000 births. Management of exomphalos major (EM) remains controversial and limited, with very few studies to guide decision-making.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Method<\/jats:title>\n                <jats:p>This is a case series of four neonates with EM treated at a tertiary paediatric referral centre between 2018 and 2021 with a gradual compression dressing technique.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Four neonates were diagnosed with EM. The average gestational age was 38\u2009+\u20095 (range 38\u2009+\u20092 \u2013 39\u2009+\u20092), and the average birth weight was 3.1\u00a0kg (range 2.56 \u2013 3.49\u00a0kg). The defect size ranged between 5 and 7\u00a0cm. All patients were commenced on gradual compression dressing between days 1 and 3 of life. Dressings were applied at the bedside in the general neonatal ward. The average time taken to reach full feeds was 1\u00a0week; only one patient required parenteral nutrition. Three underwent surgical repair at two and 16\u00a0weeks of age; one had delayed repair at the age of 1\u00a0year because of the COVID-19 pandemic. None required patch repair. None required prolonged ventilation after repair.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>This case series describes a successful compression dressing technique that reduces sac content without the need for general anaesthetic or respiratory compromise, whereby simultaneous enteral feeding is tolerated.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11845-024-03630-8","type":"journal-article","created":{"date-parts":[[2024,2,20]],"date-time":"2024-02-20T15:35:01Z","timestamp":1708443301000},"page":"1453-1459","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A case series of successfully managing exomphalos major with awake graduated compression dressing and early enteral feeding"],"prefix":"10.1007","volume":"193","author":[{"given":"Hussam","family":"Widatella","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sami","family":"Abd Elwahab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0235-6671","authenticated-orcid":false,"given":"Zakya","family":"Penny","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sri Thambipillai","family":"Paran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,2,20]]},"reference":[{"key":"3630_CR1","unstructured":"Holcomb GW III, Murphy JP, Ostlie DJ, St. Peter SD (eds) (2019) Ashcraft\u2019s pediatric surgery, 7th edn. 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