METHOD OF TWO-STAGE SURGICAL TREATMENT OF NEWBORNS WITH LARGE-SIZE OMPHALOCELE

摘要

The invention relates to medicine, in particular to pediatric surgery, and can be used for surgical treatment of congenital malformation of the anterior abdominal wall - large omphalocele. Omphalocele is a ventral defect in the umbilical ring and is one of the most common congenital malformations of the anterior abdominal wall in newborns. A method is claimed of two-stage surgical treatment of newborns with large omphalocele, in which a defect is closed with skin flaps during the first operation and loops are sutured to muscular-aponeurotic edges, to be further used to gradually extend all the layers of the anterior abdominal wall and skin within the postoperative period; in 7-8 days after the first operation, when the volume of the abdominal cavity becomes sufficient for layer-by-layer plastic surgery of the anterior abdominal wall, the second operation is performed, during which the postoperative cicatrix is excised with bordering incision and traction loops are removed, skin flaps are dissected from both sides to the outer edge of the rectus abdominis muscles, starting from the lower corner of the wound, individual muscular-aponeurotic nodal sutures are applied until the defect is completely closed, the skin is sutured with nodular sutures without tension.