Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond.

J Indian Assoc Pediatr Surg

Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India.

Published: November 2019

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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910046PMC
http://dx.doi.org/10.4103/jiaps.JIAPS_195_18DOI Listing

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