Conservative management of exomphalos major with silver dressings: are they safe?

J Pediatr Surg. 2010 Dec;45(12):2438-9. doi: 10.1016/j.jpedsurg.2010.08.013.

Abstract

Historically, some dressings used in exomphalos major were associated with toxicity. These have been abandoned in favor of safer dressings. Silver toxicity has not been described following the use of silver dressings in infants. We, however, found disconcerting serum silver levels in 2 consecutive patients during treatment with silver salt containing dressings.

Publication types

  • Case Reports

MeSH terms

  • Anti-Infective Agents, Local / adverse effects*
  • Anti-Infective Agents, Local / pharmacokinetics
  • Anti-Infective Agents, Local / therapeutic use
  • Bandages
  • Carboxymethylcellulose Sodium
  • Cesarean Section
  • Combined Modality Therapy
  • Compression Bandages*
  • Elective Surgical Procedures
  • Female
  • Fundoplication
  • Hernia, Umbilical / diagnosis
  • Hernia, Umbilical / surgery
  • Hernia, Umbilical / therapy*
  • Humans
  • Infant, Newborn
  • Occlusive Dressings
  • Petrolatum / therapeutic use
  • Prenatal Diagnosis
  • Rupture, Spontaneous
  • Silver / blood*
  • Silver Sulfadiazine / adverse effects*
  • Silver Sulfadiazine / pharmacokinetics
  • Silver Sulfadiazine / therapeutic use
  • Suture Techniques

Substances

  • Anti-Infective Agents, Local
  • jelonet
  • Silver
  • Petrolatum
  • Carboxymethylcellulose Sodium
  • Silver Sulfadiazine