Repair of ruptured omphalocele sac in the neonatal period and beyond | Zendy

Veereshwar Bhatnagar | Zendy; Nidhi Sugandhi | Zendy; Manoj Saha | Zendy; AnjanKumar Dhua | Zendy

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Repair of ruptured omphalocele sac in the neonatal period and beyond

Author(s) -

Veereshwar Bhatnagar,

Nidhi Sugandhi,

Manoj Saha,

AnjanKumar Dhua

Publication year - 2019

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.

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