TITLE:
Management of Omphalocele in the Pediatric Surgery Department of Donka National Hospital
AUTHORS:
Mohamed Lamine Sadou Sacko, Thierno Saidou Barry, Balla Keita, Moussa Conde, Ibrahim Fofana, Seydou Keita, Daniel Agbo-Panzo
KEYWORDS:
Omphalocele, Tannage, Gross, Embryopathy
JOURNAL NAME:
Open Journal of Pediatrics,
Vol.14 No.6,
November
18,
2024
ABSTRACT: 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.