Umbrella repair of giant omphalocele, A new technique.
Iranian Journal of Pediatric Surgery,
Vol. 2 No. 2 (2016),
11 February 2017
Introduction: Although many techniques have been described for reconstruction of the giant omphalocele, we present a simple , effective and safe new technique.
Materials and Methods: We have studied 11 neonates with giant omphalocele that were treated by a new technique, Umbrella repair, in Sarvar pediatric hospital of Mashhad, Iran. In this new technique we released the skin around the omphalocele membrane just near the junction and a purse string suture is placed at the edge of the skin with beads beneath each bite and graded tightening of the suture in order to pushing the omphalocele toward the abdominal cavity. Finally we compare the results.
Results: Among total 11 patients, mean age and weight at the time of operation were 2.18 days and 2150 grams respectively. comparing the results between groups, we observed significant less operative time and number of surgeries in neonatal period among patients who managed by umbrella repair. Post-operative complications, morbidity and mortality in umbrella repair group were also less than coventional methods.
Conclusion: Umbrella repair provide a rapid and safe method for management of giant omphalocele with acceptable results and low morbidity and mortality.
- Giant omphalocele
- Surgery complications
- Umbrella repair
Ameli NO, Alimohammadi A: Attempted infanticide by insertion of sewing needles through fontanels. J Neurosurg 1970; 33: 721-3.
Marks MN, Kumar R: Infanticide in England and Wales, 1982–1988. Med Sci Law 1993; 33: 329–39.
Klein CA: Intentional ingestion and insertion of foreign objects: a forensic perspective. J Am Acad Psychiatry Law 2012;40:119-26.
Li SF, Ender K: Toothpick injury mimicking renal colic: case report and systematicreview. J Emerg Med 2002;23:35-8.
Aarabi S, Stephenson J, Christie DL, Javid PJ: Noningested intraperitoneal foreign body causing chronic abdominal pain: a role for laparoscopy in the diagnosis. Journal of Pediatric Surgery 2012; 47: 15–7.
Nicksa GA, Pigula F A, Giuffrida MJ, Buchmiller TL: Removal of a sewing needle from an occult esophageal ingestion in a 9 month old. J PediatrSurg 2009; 44: 1450–3.
Ekingen G, Guvenc BH, Senel U, Korkmaz M: Fluoroscopy-Guided Laparoscopy in the Management of Intraabdominal Foreign Body. J Pediatr Surg 2003; 38: 19-20.
Schiessel R: The research progress of acute small bowel perforation. Journal of Acute Disease 2015; 4: 173–7.
Gupta A, Habib K, Harikrishnan A, Khetan N: Laparoscopic surgery in luminal gastrointestinal emergencies-a review of current status. Indian J Surg 2014; 76: 436-43.
C L Kao, HM Chao, S C His, YF Lin: Small bowel perforation caused by ingested fish bone: Diagnosis and management by laparoscopy. Formosan Journal of Surgery 2013; 46: 170-2.
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