Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond

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...

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Autores principales: Sugandhi, Nidhi, Saha, Manoj, Bhatnagar, Veereshwar, Dhua, Anjan Kumar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910046/
https://www.ncbi.nlm.nih.gov/pubmed/31896900
http://dx.doi.org/10.4103/jiaps.JIAPS_195_18
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author Sugandhi, Nidhi
Saha, Manoj
Bhatnagar, Veereshwar
Dhua, Anjan Kumar
author_facet Sugandhi, Nidhi
Saha, Manoj
Bhatnagar, Veereshwar
Dhua, Anjan Kumar
author_sort Sugandhi, Nidhi
collection PubMed
description 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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spelling pubmed-69100462020-01-03 Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond Sugandhi, Nidhi Saha, Manoj Bhatnagar, Veereshwar Dhua, Anjan Kumar J Indian Assoc Pediatr Surg Case Report 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. Wolters Kluwer - Medknow 2020 2019-11-27 /pmc/articles/PMC6910046/ /pubmed/31896900 http://dx.doi.org/10.4103/jiaps.JIAPS_195_18 Text en Copyright: © 2019 Journal of Indian Association of Pediatric Surgeons http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Sugandhi, Nidhi
Saha, Manoj
Bhatnagar, Veereshwar
Dhua, Anjan Kumar
Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond
title Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond
title_full Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond
title_fullStr Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond
title_full_unstemmed Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond
title_short Repair of Ruptured Omphalocele Sac in the Neonatal Period and Beyond
title_sort repair of ruptured omphalocele sac in the neonatal period and beyond
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6910046/
https://www.ncbi.nlm.nih.gov/pubmed/31896900
http://dx.doi.org/10.4103/jiaps.JIAPS_195_18
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AT bhatnagarveereshwar repairofrupturedomphalocelesacintheneonatalperiodandbeyond
AT dhuaanjankumar repairofrupturedomphalocelesacintheneonatalperiodandbeyond

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