Open AccessRepair of ruptured omphalocele sac in the neonatal period and beyond
Author(s) -
Nidhi Sugandhi,
Manoj Saha,
Veereshwar Bhatnagar,
Anjan Kumar Dhua
Publication year - 2020
Publication title -
journal of indian association of pediatric surgeons
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.306
H-Index - 17
eISSN - 1998-3891
pISSN - 0971-9261
DOI - 10.4103/jiaps.jiaps_195_18
Subject(s) - omphalocele , medicine , contraindication , conservative management , surgery , tissue expander , ventral hernia , conservative treatment , closure (psychology) , hernia , pregnancy , market economy , fetus , genetics , alternative medicine , pathology , mastectomy , cancer , breast cancer , economics , biology
Conservative management of giant omphalocele in the neonate period is a known strategy to allow tissue growth aiding in anatomical closure. However, rupture of the covering sac is considered an absolute contraindication for continuing conservative management. We report a case where a ruptured sac of giant omphalocele was ingeniously sutured to restore its integrity, and conservative management continued. The giant omphalocele later became a huge ventral hernia and was gradually reduced and primary closure was achieved with multiple surgeries over a period of 4 years.