Diagnosing and Methods of Treatment of A Large-Size Omphalosele on A Newborn

Abstract

Improving the diagnosis and treatment of large-size omphalocele in newborns. Material and methods: Under the supervision of 103 infants with omphalocele diagnosis at the Republican Neonatal Surgery Training and Treatment and Methodical Center under the Republican Perinatal Center in 2006-2017. In our patients, large-sized omphalocele was detected in 24 (23.3%) patients with moderate size omphalocele - 39 (37.9%) and 40 (38.8%) in small-size omphalocele. Of these, 45 (44%) were girls, 58 (56%) boys. Of the total amount, 84 (82%) of the newborns who were born with omphalocele at birth, and 19 (18%) were infants born prematurely. Results: Totally 103 of the infected with omphalocele 32 (31%) babies died.  Factors leading to the death were the presence of additional malfunctions (21 children - 66%) and severe somatic dysfunction. In all mortality cases aspiration bronchopneumonia, 11 (34.4%) early childbirth, 12 (37.5%) cases of body temperature decreased and scleremia. In addition, it has shown its significant effect on the postoperative and operative treatment process, as well as there were changes in brain during in neonatal neurosonography. The cause of death in 4 children (12.5%) was related to brain hemorrhage and swelling. It should be noted that 12 (50%) cases with 24 large-size omphalocele have been reported to have died.