Past and current surgical treatment of giant omphalocele: outcome of a questionnaire sent to authors

Abdominal wall defects: omphalocele and gastrschisis

“…Van Eijck ve ark. (46) yaptıkları ve 1967-2009 yılları arasında yayınlan-mış 48 makalenin sorgulandığı bir çalışmada, büyük omfalosellerde en uygun girişimin genellikle evreli kapatma ve gecikmiş kapatma olduğu sonucuna varmışlardır.…”

Giant omphalocele: current perspectives

“…Advantages are avoidance of surgery in the neonatal period, intestine is left untouched, and early enteral feeding is usually possible. 14 Especially infants with severe pulmonary compromise, premature infants, or others who do not tolerate an increase in abdominal pressure might profit from this method. 26 It is often used in resource-limited areas where the possibility of neonatal intensive care is limited.…”

“…There exist several possible techniques in each group, however, with no leading, preferred method. This was emphasized in the study of van Eijck et al 14 Authors of publications (1967-2009) on operative techniques for GO were asked if their published techniques were still in use in their own center. Almost half of the authors had changed or stopped using the technique after publication, but the change was not to a particular proven better technique.…”

Giant Omphalocele: What's the Way to Go?

“…in case of mislocation, infection, etc.). The mean recurrence rate of hernia after primary closure is reported around 58% [11].…”

“…Disadvantages are the need of multiple anaesthesias and surgical procedures, prolonged muscular paralysis and mechanical ventilation, the high risk of local and systemic infections, plus the high cost of multiple admissions and often the use of more than one prosthetic material. The mean recurrence rate of hernia is reported around 18% [11].…”