Omphalocele repair

What is the procedure for omphalocele repair? What happens if an omphalocele is large? Surgical repair of the omphalocele takes place after birth.

The overall health of your baby, especially their respiratory status, the size of the omphalocele and the degree of liver involvement, determine the type of omphalocele treatment. Your baby may need more than one surgery to fix the omphalocele. A small omphalocele may be repaired soon after your baby is born.

The omphalocele repair is a surgical procedure performed under general anesthesia. The infant will receive medication to relax his or her muscles, and to help the surgery move forward without causing any pain. A large omphalocele repair may be done in stages over several weeks.

If the omphalocele is large (many organs outside of the belly), the repair might be done in stages. A larger omphalocele may require a longer stay in the neonatal intensive care unit so that the abdominal cavity can expand enough to hold the organs that developed in the omphalocele sac. The surgeon will determine the safest time to surgically repair the omphalocele. Double (Two-Stage) Repair.

A synthetic material is used to cover the defect by suturing it around and over the viscera.

An omphalocele is a birth defect, which is an abnormality that occurs before birth as a fetus is forming in its mother’s uterus. Omphalocele repair Definition. Some of the abdominal organs protrude through an opening in the abdominal muscles in the area of the umbilical cord.

The outcome depends on the size of omphalocele , the presence of other defects, or if there is chromosome abnormalities present or concern for a genetic syndrome. Fetuses with small or medium-sized omphaloceles and no other problems do extremely well with surgical repair after birth. At that time, the sac is wrapped with an elastic bandage.

Giant omphalocele : If the opening is greater than five centimeters in diameter and contains mostly liver, it is a giant omphalocele. Infants with giant omphaloceles have more problems with breathing, feeding and overall survival compared to those with smaller defects. To view the entire topic, please sign in or purchase a subscription. This may take a week to days.

The infant’s intestines, liver, or other organs stick outside of the belly through the belly button. The organs are covered in a thin, nearly transparent sac that hardly ever is open or broken. More than two-thirds of babies with omphalocele have abnormalities of other organs or body parts, most commonly the spine, digestive system, heart. Image – Repair of omphalocele.

Both defects require similar medical care at birth (see Table 26-6). Gastroschisis repair is a procedure done on an infant to correct a birth defect that causes an opening in the skin and muscles covering the belly (abdominal wall). The opening allows the intestines and sometimes other organs to bulge outside the belly.

The gap is caused by a birth defect.

Reasons for Procedure. In the rare circumstance that your child has a giant omphalocele , your care team will develop a customized omphalocele care plan with a delayed closure based on exam. With an omphalocele , the. The repair would then be done in stages.

If the sac ruptures before it is repaire the baby will need to have surgery right away. Sometimes the omphalocele can be too large to repair right away.