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Note: This is for informational purposes only. Doctors cannot provide a diagnosis or individual treatment advice via e-mail. Please consult your physician about your specific health care concerns.

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Omphalocele repair - Overview

Definition of Omphalocele repair:

Omphalocele repair is surgery to repair a birth defect in the wall of the belly (abdomen) in which all or parts of the small intestine, liver, and large intestine stick outside the belly in a thin sac. organs come out through an opening at the base of the umbilical cord.

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Description:

The goal of surgery is to place the abdominal organs back into the babyâ ' s body and repair the defect in the wall of the belly, if possible.

Immediately after birth:

  • The baby's sac of exposed organs is covered with warm, moist, sterile dressings or a sterile plastic bag.
  • A nasogastric (NG) tube is inserted through the baby's nose or mouth into the stomach to keep the stomach empty. This prevents the baby from choking and breathing stomach contents into the lungs.

For infants with small omphaloceles, the surgery is done soon after birth.

If the infant has a large omphalocele, the surgery is delayed. The intestines and other organs can be gently squeezed into the belly with the help of a plastic pouch called a silo. This can take a few weeks. Surgery will be done right away if the sac around the organs breaks.

Before surgery, your baby will receive general anesthesia. This will make your baby unconscious and unable to feel pain during the operation.

The surgeon will make a cut to remove the sac around the organs. The intestine is examined closely for signs of damage or other birth defects. Unhealthy parts will be removed, and the healthy edges will be stitched together.

More surgery may be needed later to repair the muscles in your babyâ ' s belly.

  • Reviewed last on: 2/2/2009
  • Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Ledbetter DJ. Gastroschisis and omphalocele. Surgical Clinics of North America. April 2006;86(2).

The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. © 1997- A.D.A.M., Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
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