Emergency treatment of a ruptured huge omphalocele by simple suture of its membrane

Abstract

BackgroundThe rupture of a huge omphalocele is an emergency that threatens the newborn baby's life. It constitutes a therapeutical concern in the absence of prosthesis especially in developing countries.MethodsWe are reporting herein the case of a newborn baby that we managed in emergency successfully thanks to a simple treatment.ResultsIt was a huge omphalocele, ruptured during delivery, in a male newborn baby. We conducted a simple and conservative surgical treatment without prosthesis, which consisted of reconstruction of the omphalocele's membrane by closing it with absorbable suture materials. The suture of the omphalocele's membrane was followed by treatment with the Grob's method. This treatment saved the newborn baby's life. The total skinning was obtained after 3 months.ConclusionsIn case of rupture of huge omphalocele in absence of prosthesis, it is better to suture the membrane, and continue the treatment according to the Grob's method; the residual disembowelment can be repaired later.

Abdominal Wall Defects—Current Treatments

“…In cases of larger defects or in cases where large parts of the liver are herniated, caesarean section is generally the preferred route of delivery to minimize the risk of significant bleeding, dystocia or sac disruption [ 118 , 119 ]. Small tears in the sac membrane may be primarily closed with a suture or tissue glue if the sac is robust and sufficient to cover the viscera [ 120 ].…”

Repair of ruptured omphalocele sac in the neonatal period and beyond

“…However, the surgical approach for closure of the ventral hernia was not presented. [45] Our case's success story endorses this alternative approach in the management strategies of ruptured giant omphaloceles in the neonatal period. It is especially advantageous in the peripheral centers of developing countries in an emergency situation.…”