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Original communication| Volume 69, ISSUE 2, P208-214, February 1971

Omphalocele—an appraisal of therapeutic approaches

DOI:https://doi.org/10.5555/uri:pii:0039606071901504
Omphalocele—an appraisal of therapeutic approaches
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      Abstract

      • 1.
        1. Fifty-four cases of omphalocele and gastroschisis are reviewed—the experience at the Red Cross War Memorial Children's Hospital since its opening.
      • 2.
        2. Gastroschisis of necessity is treated operatively, and of 7 cases 3 survived.
      • 3.
        3. Primary operative repair was used in 25 babies with omphalocele and 16 (64 percent) survived.
      • 4.
        4. Of the nine deaths in operative patients, seven were the direct result of excessive intra-abdominal pressure attendant upon replacement of the viscera within the abdominal cavity. This problem was not solved by using skin coverage alone as a first-stage procedure.
      • 5.
        5. Fifteen babies were treated nonoperatively. In 13, this was carried to completion. In two, the method was abandoned because of the development of intestinal obstruction within the sac. One of these latter died. Total survival in the group was 14 (93 percent).
      • 6.
        6. Seven babies were not treated, having died of other problems within the first 24 hours of life.
      • 7.
        7. Problems of nonoperative management are discussed.
      • 8.
        8. The surgical importance of the “omphalocele — macroglossia” syndrome is pointed out.
      • 9.
        9. Our recommendations for management of this condition are listed.
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      Article info

      Publication history

      Accepted: December 3, 1969

      Footnotes

      ☆Presented at the 47th South African Medical Congress, Pretoria, South Africa, on July 10, 1969.

      Identification

      DOI: https://doi.org/10.5555/uri:pii:0039606071901504

      Copyright

      © 1971 Published by Elsevier Inc.

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