Early surgical management for giant omphalocele: Results and prognostic factors

Giant omphalocele often represents a major surgical challenge and is reported with high mortality and morbidity rates. The aim of this study was to assess the outcome of neonates with giant omphalocele managed with early operative surgical treatment, and subsequently to identify possible factors tha...

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Veröffentlicht in:Journal of pediatric surgery 2018-10, Vol.53 (10), p.1908-1913
Hauptverfasser: Roux, Nathalie, Jakubowicz, Déborah, Salomon, Laurent, Grangé, Gilles, Giuseppi, Agnès, Rousseau, Véronique, Khen-Dunlop, Naziha, Beaudoin, Sylvie
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Sprache:eng
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Zusammenfassung:Giant omphalocele often represents a major surgical challenge and is reported with high mortality and morbidity rates. The aim of this study was to assess the outcome of neonates with giant omphalocele managed with early operative surgical treatment, and subsequently to identify possible factors that could alter the prognosis. We reviewed the medical records of 29 consecutive newborns with prenatally diagnosed giant omphalocele. In these cases one of two procedures had been performed: either staged closure after silo, or immediate closure with a synthetic patch. The cases were separated into 2 groups: Isolated giant omphalocele (IO group) and giant omphalocele associated with malformation (NIO group). Infants in the IO group had a lower size of the omphalocele (p
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2018.04.036