Missoki Azanledji Boume

Emergency treatment of a ruptured huge omphalocele by simple suture of its membrane.

BackgroundThe rupture of a huge omphalocele is an emergency that threatens the newborn babys life. It constitutes a therapeutical concern in the absence of prosthesis especially in developing countries.MethodsWe are reporting herein the case of a newborn baby that we managed in emergency successfully thanks to a simple treatment.ResultsIt was a huge omphalocele, ruptured during delivery, in a male newborn baby. We conducted a simple and conservative surgical treatment without prosthesis, which consisted of reconstruction of the omphaloceles membrane by closing it with absorbable suture materials. The suture of the omphaloceles membrane was followed by treatment with the Grobs method. This treatment saved the newborn babys life. The total skinning was obtained after 3 months.ConclusionsIn case of rupture of huge omphalocele in absence of prosthesis, it is better to suture the membrane, and continue the treatment according to the Grobs method; the residual disembowelment can be repaired later.

Classification of Umbilical Hernia

Umbilical hernias occur frequently in children. The treatment is closure of the umbilical ring and may or may not include umbilicoplasty. The authors devised a classification of the hernias that includes base diameter and height describing small and huge hernias and includes groups as well as types. The type of surgery depends on how it is classified by base diameter.