Abstract
ObjectiveThe aim of the study was to present the clinical outcomes of patients diagnosed with giant omphalocele, treated with early primary closure combined with bandaging and povidone-iodine staining and powder spray antibiotics.Materials and methodsThe study included a total of 22 infants with omphalocele. The omphalocele sacs of the patients were cleaned daily with topical povidone-iodine. A powdered spray antibiotic combination was then applied topically twice a day and the sac was wrapped in a sterile elastic bandage. Following the observation of eschar formation and epithelization, the patients were operated on in the early period and the sac was removed by placing a graft.ResultsEvaluation was made of a total of 14 female and eight male patients with mean duration of conservative monitoring of 11 days and mean total hospital stay of 35. The mean giant omphalocele (GO) defect size of the patients followed-up was 10 cm. Since seven of the patients in the present study died in the 1st week, conservative and elastic bandages were applied for the GO treatment of 15 patients for 9-14 days. After the conservative follow-up, it was determined that the patients who were applied with a graft at an average of 11 days were hospitalized for an average of 24 days postoperatively.ConclusionIn conclusion, it is possible to reduce the length of hospital stay with primary closure in the early period by providing faster epithelialization with the combination of povidone-iodine and antibiotic powder together with elastic bandage application in infants with GO.
Highlights
Omphalocele is one of the most common congenital abdominal wall defects seen in approximately one in 4000-7000 live births [1]
Since seven of the patients in the present study died in the 1st week, conservative and elastic bandages were applied for the giant omphalocele (GO) treatment of 15 patients for 9-14 days
After the conservative follow-up, it was determined that the patients who were applied with a graft at an average of 11 days were hospitalized for an average of 24 days postoperatively
Summary
Omphalocele is one of the most common congenital abdominal wall defects seen in approximately one in 4000-7000 live births [1]. It is associated with an under-developed abdominal cavity and a high visceralabdominal disproportion that prevents safe primary closure [2]. This is the midline defect of the abdomen where the abdominal organs and especially the bowel segments are herniated with a sac. The purpose of GO treatment is the closure of the abdominal wall defect after reducing the abdominal content and stabilization with supportive care. The second method, is the removal of the graft and primary closure after ensuring epithelization with the graft in the early period [4,5,6]
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