Use of Botulinum Toxin in the management of giant omphalocele in an infant. Case Report
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https://orcid.org/0000-0002-5519-9470
Felix Fernando Rosas Ayque
Abstract
Introduction: Giant omphalocele is an abdominal wall defect of 5cm in diameter or more or presence of liver herniation. The use of botulinum toxin has been described as an adjunct therapy in the reconstruction of the abdominal wall in adults. Its use in pediatric patients is still little described but it does show safety and efficacy.
Case Report: 40-week gestational-age female patient with a giant omphalocele with a wide defect measuring approximately 9 centimeters, in whom at 75 days of life botulinum toxin injections were applied around the defect and operated a week after for definitive abdominal wall closure which was achieved without tension or post-operative intercurrences.
Conclusion: The use of botulinum toxin is shown to be highly effective in achieving abdominal wall closure in infant patients with giant omphalocele.