Back to Journals » Research and Reports in Neonatology » Volume 6

Giant omphalocele: current perspectives

Authors Mack AJ, Rogdo B

Received 29 March 2016

Accepted for publication 16 May 2016

Published 18 July 2016 Volume 2016:6 Pages 33—39

DOI https://doi.org/10.2147/RRN.S82528

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Robert Schelonka


Alexander Josef Mack,1 Bjarte Rogdo2

1Department of Pediatric Surgery, 2Pediatric and Neonatal Intensive Care Unit, Children’s Hospital of Eastern Switzerland, St Gallen, Switzerland

Abstract: Giant omphalocele (GO) is a congenital ventral abdominal wall defect characterized by a large opening with herniated abdominal organs, including liver, loss of abdominal cavity volume, and other associated congenital anomalies. Treatment of patients with GO represents a major challenge for involved caregivers. Despite significant improvements in neonatal intensive and surgical care over the last decades, the condition is still associated with high mortality rates and a high risk of severe morbidity in survivors. The principles of the earliest attempts to treat GO surgically and conservatively are still easily recognized in the main approaches used today. In this review, we discuss the more recent developments in the treatment of GO, including perioperative management and associated morbidities of the condition.

Keywords: giant omphalocele, abdominal wall closure, staged repair, delayed repair
 

Creative Commons License This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution - Non Commercial (unported, v3.0) License. By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms.

Download Article [PDF]  View Full Text [HTML][Machine readable]