Treatment of ruptured omphalocele with fetal bovine collagen. A case report

The two most frequent congenital abnormalities of the front abdominal wall are omphalocele and gastroschisis.

An omphalocele is a defect in the midline of the abdominal wall that allows abdominal viscera to protrude into the umbilical cord sac. Right-sided abdominal wall defects (gastroschisis) are defects in the anterior abdominal wall, leading to an unprotected herniation of the gastrointestinal system and, rarely, the urogenital tract into the fetal amnion. There are no established management plans or treatment regimens for this uncommon congenital abnormality. Surgeons face a significant hurdle when attempting to treat omphalocele with a single operation. Wound infections, face separation, and abdominal domain loss are common side effects of current treatment methods. Significant increases in intra-abdominal pressures, disruption of interior venous blood flow, and hemodynamic and respiratory instability due to diaphragmatic elevation are the most common causes of postoperative problems following a single-stage surgery. The primary benefit of delayed phased closure is the avoidance of additional newborn surgical procedures. In the treatment of omphalocele, both synthetic and natural biomaterials have shown useful as substitutes. This case report details the non-surgical closure of an omphalocele in an infant who presented with a huge omphalocele.