Management of Omphalocele in the Pediatric Surgery Department of Donka National Hospital
Management of Omphalocele in the Pediatric Surgery Department of Donka National Hospital作者机构：Department of Paediatric Surgery Conakry University Hospital Conakry Guinea Gamal Abdel Nasser University Conakry Guinea Conakry Military Hospital Conakry Guinea Department of General Surgery CHU Ignace Deen Conakry Guinea
出 版 物：《Open Journal of Pediatrics》 (儿科学期刊（英文）)
年 卷 期：2024年第14卷第6期
页 面：1090-1100页
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Omphalocele Tannage Gross Embryopathy
摘 要：Introduction: Omphalocele is an embryopathy of the first ten weeks of gestation. It corresponds to a defect in the abdominal wall through which viscera contained in a sac constituted by the amniotic membrane and centered by the umbilical cord are exteriorized. The objective of this work was to study the diagnostic modalities and the impact of our therapeutic choices on the outcome of the management. Material and Methods: We carried out a prospective study on patients with omphalocele admitted to the pediatric surgery departments of the HND, during a period spread over 4 years, between January 2017 and December 2020. Results: we collected 55 files (i.e., 13.7 cases/year). There were 38 boys and 17 girls (sex ratio 2.2) with an average age of 1.9 days. We found 15 cases (27%) of type I and 40 cases (73%) of type II according to the AITKEN classification. Fifteen cases (27%) benefited from surgical treatment and 45 cases (73%) benefited from conservative treatment (Grob). Two surgical methods were used: Primary parietal closure, which was used in 10 cases (66.7%), and the GROSS method, which was used in 5 cases (33.3%). We obtained an improvement of 40 cases (73%) and 15 cases (27%) of death. Conclusion: our work reported our experience in the management of omphalocele and the difficulties of postoperative resuscitation.
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