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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


Checked for plagiarism Yes

Review by Single-blind

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

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