Delayed primary repair of giant omphalocele: anesthesia challenges

Silver-impregnated hydrofiber dressing followed by delayed surgical closure for management of infants born with giant omphaloceles

“…A giant omphalocele (GO) is greater than 6-8 cm in any dimension and contains both the abdominal visceral contents as well as parts of the liver. [2,3] Most GO infants have other anomalies including cardiac, gastrointestinal, urologic, musculoskeletal and/or neurologic conditions. [4] Despite advances in neonatology, anesthesia and surgery, mortality in GO infants remains high at 25% and no optimal management technique for these infants has yet been established [3,5].…”

The challenges of severe laparoschisis management in rural health facilities: a case from Bominenge health district facility

“…Laparoschisis 1 is 'a congenital malformation characterized by the absence of the abdominal covering sac and/or sub-cutaneous and cutaneous tissues, exposing viscera to the external environment'. Previous research [1][2][3][4][5][6][7] reported a moderate prevalence of 1 per 6,000 births in Europe and 4.4 per 10,000 births in Canada, While the disease has not been extensively studied in Africa, results from facility-based studies [8][9][10] suggest that laparoschisis represents between 5-12% of total congenital malformations diagnosed in West and Northern Africa. The authors'article1 also reported that it occurs around teen weeks of gestational age and results in bowel protruding without covering sac, adding that antenatal diagnosis is rare due to the lack of antenatal optimal investigation, mainly ultrasound in rural health care facilities.…”

“…The challenges of severe laparoschisis management in rural health facilities: a case from Bominenge health district facility Volume 11 Issue 3 -2021 Charles Kombi DDS, MPH, 1 Bidashimwa Nzabo M.D, MPH, Ph.D, 2 Jerome Mastaki, 3 Adrien Lokangaka, MD, MPH, 4 Gustave Lomendje MD, MPH, 5 Médard Kabuyaya, 6 Joel Bosenya…”