Abstract

Background: Omphalocele is an abdominal wall defect. Herniated organs can be small or large intestine, liver, and stomach. The use of conventional techniques has always been a challenge for the surgeon. The goal of using NPWT is to provide a quick, simple, and effective method to reduce the eviscerated content and enlarge the visceral continent. Case Presentation: The record of 3 patients with omphalocele was reviewed. There were two females and one male neonate. All the babies were born by C-section and were antenatally diagnosed for omphalocele. In all cases, NPWT was applied. Two cases were discharged in good condition while one patient with complex cardiac defects succumbed. Conclusion: NPWT is an effective and safe alternative for omphalocele management.

Highlights

  • Omphalocele is an abdominal wall defect, the management of which has been quite challenging to the surgeons

  • [4] The main aim is to present our experience with NPWT in neonates with omphalocele

  • In order to achieve good adherence and avoid contaminants, the omphalocele sac and abdominal wall were cleaned with 70% alcohol before the device placement

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Summary

INTRODUCTION

Omphalocele is an abdominal wall defect, the management of which has been quite challenging to the surgeons. [1] The use of mesh, silo, or hydrocolloid patches is not always successful. [1] The use of mesh, silo, or hydrocolloid patches is not always successful. Omphalocele is an abdominal wall defect, the management of which has been quite challenging to the surgeons. They are associated with a high rate of complications, need for frequent manipulation, and prolonged hospital stay, which can lead to nosocomial infections and wasting of resources. [2] The goal of NPWT is to provide a quick, simple, and effective method to reduce the eviscerated content and enlarge the visceral continent. It dehydrates and accelerates the scarification of the amnios, allowing a definitive closure in lesser time. The closure must occur at an appropriate moment as premature closure may result in abdominal compartment syndrome. [4] The main aim is to present our experience with NPWT in neonates with omphalocele

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