Скачать или смотреть A Rare and Shocking Condition: Omphalocele

In this video, we provide a detailed discussion of omphalocele, a congenital anomaly observed in newborn infants, and the vital importance of its early detection via prenatal ultrasound.

Omphalocele, which occurs in approximately 1 in 5,000 births, is a condition resulting from the incomplete closure of the infant's abdominal wall.
This defect causes intra-abdominal organs (such as the intestines, stomach, and liver) to be located outside the abdomen, enclosed within a thin sac composed of the peritoneum and amnion at the base of the umbilical cord.
The size of the omphalocele can vary significantly between infants; in some cases, only the small intestines may be external, while in others, large organs like the liver can also be contained within the sac.

Omphalocele arises from a disruption in the developmental process between the 6th and 10th weeks of gestation, during which the abdominal organs normally return to the abdominal cavity.
While the precise etiology of this condition is not fully understood, it is believed that genetic factors and environmental interactions may play a role.
Infants with omphalocele may also have an increased likelihood of co-occurring chromosomal abnormalities, such as Down syndrome (Trisomy 21).

Omphalocele is typically diagnosed with ease during routine ultrasonography scans performed in the second trimester of pregnancy (18-20 weeks).
Prenatal diagnosis is crucial as it allows for the delivery to be planned at an appropriate medical center with an experienced pediatric surgery team, facilitates family counseling, and enables preparation for potential postnatal complications.

The treatment for omphalocele is planned by a specialized pediatric surgical team immediately following the infant's birth.

The therapeutic approach varies depending on the size of the omphalocele, the organs involved, and the infant's overall health status:
-Treatment for Small Omphalocele: Typically involves primary surgical closure, where the opening in the abdominal wall is repaired, and the organs are placed back into the abdominal cavity.

-Treatment for Large Omphalocele: In cases of large omphaloceles, placing all the organs into the abdominal cavity in a single operation could dangerously increase intra-abdominal pressure. Therefore, treatment is often performed in stages (staged repair).

The prognosis for infants born with omphalocele depends on the size of the defect, the presence or absence of other associated congenital anomalies, and the treatment administered.
However, thanks to advances in modern medicine and pediatric surgery, most infants with omphalocele can be successfully treated and go on to lead healthy lives.

This text is for informational purposes only.
For any questions regarding the diagnosis or treatment of omphalocele, please consult a pediatric surgeon or a qualified healthcare professional.


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