Omphalocele repair
Definition
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.
See also:
- Gastoschisis (a similar defect)
- Gastroschisis repair
- Omphalocele
Description
The goal of surgery is to place the abdominal organs back into the baby'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 baby's belly.
Risks
Risks for any anesthesia are:
- Allergic reactions to medicines
- Breathing problems
Risks for any surgery are:
- Bleeding
- Infection
- Blood clots
Additional risks of omphalocele repair are:
- Breathing problems. The baby may need a breathing tube and breathing machine for a few days or weeks after surgery.
- Inflammation of the tissue that lines the wall of the abdomen and covers the abdominal organs
- Organ injury
- Problems with digestion and absorbing nutrients from food, if a baby has a lot of damage to the small bowel
Reviewed By: 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.
