Skip to main content

Table 3 BTI to treat CIH: results

From: Botulinum toxin abdominal wall injection and post-omphalocele ventral hernia repair: database and proposal of a protocol

Author

n

Timing

Control

Defect

Surgery

Recurrences

Ibarra-Hurtado et al. 2009 [17]

12

 

CT (4 and 1 preop weeks)

Mean 13.9 cm

6 direct closure+6 anterior MCM

None (mean FU 9 mo, 4–18)

Elstner et al. 2016 [9]

32

14 weeks preop

CT (preop, 2 mo Pop, 6 mo Pop)

5 × 9 cm to 24–27 cm

26 direct closure w/mesh reinforcement +6 anterior MCM

None (mean FU 19 mo - 5–39)

Chavez-Tostado et al. 2014 [7]

14

mean 40.1 preop days

CT (4 and 1 preop weeks)

Mean 14.6 cm (282 cm2)

11/14 direct closure, 3/14 MCM, both w/mesh reinforcement

None (mean FU 34 mo – 18–120)

Rodriguez-Acevedo et al. 2018 [4]

56

7–14 days preop

CT (preop, 10 days post TB injection, mo Pop, 2 and 6 mo Pop)

Mean 11.6 cm (5 × 9 to 28 × 19 cm)

48/56 direct closure, 8/56 MCM, both w/mesh reinforcement

One (questionable)

Nielsen et al. 2019 [12]

37

3–4 weeks preop

CT

Mean 12 × 20 cm

22/37 direct closure, 15/37 MCM, both w/mesh reinforcement

Not reported

Zielinski et al. 2013 [14]

18

Pre-closure (open abdomen)

None

Not described

83% primary closure, 9/18 MCM

11% recurrence, 6% mortality