Gp. Hadley et At. Bosenberg, POLAND SYNDROME WITH EXOMPHALOS MAJOR - A SUCCESSFUL MANAGEMENT STRATEGY, Pediatric surgery international, 10(7), 1995, pp. 498-500
Assessment of the effects of closure of exomphalos on ventilatory mech
anics is pivotal to primary management decisions. We present a patient
in whom problems of abdomino-visceral disproportion were compounded b
y reduced thoracic volume due to Poland's syndrome. Initial nonoperati
ve management with delayed closure of the ventral hernia using epidura
l anaesthesia was successful.