Nonoperative Treat ment of Exomphalos (Omphalocele).
Abstract
Summary: In a period of 16 months 10 cases of exomphalos were treated in the Department of Paediatrics, Lagos University Teaching Hospital. Or the so cases, 8 were treated nonoperatively and only one of the 8 patients died following operative intervention which was necessitated by the development of adhesive intestinal obstruction. The second death in the series occured soon after operative procedure on an infant born with ruptured exomphalos. Neither operative nor nonoperative treatment was given to the third child who died six days after admission. Our experience in the management of this small number of cases shows that nonoperative treatment of exomphalos is simple, safe and has a low mortality rate. In view of the prolonged hospitalization required by this method of treatment, it is suggested that evaluation of outpatient management be undertaken.
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