The factors affecting mortality in omphalocele patients
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Tarih
2007
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/closedAccess
Özet
Aim: The incidence of omphalocele has been reported to be 1 in 5000 live births. Despite improvements in recent years, mortality rate is still high in these patients. In the present study, we evaluated the possible factors affecting mortality in omphalocele patients who were operated in our clinic. Material and Method: In this study, we evaluated 61 omphalocele cases who were operated in our clinic between 1983 and 2006. Sex, birth weight, gestational age, size of abdominal wall defect, type of surgery, associated anomalies and mortality rate were recorded. Results: The mean birthweight was 3060 gram (1300-4200 gram). In the 24 % of patients, gestational age was under 38 weeks. Primary closure was done in 49 (80 %), silo in 5 (8.1 %), patch in 4 (6.5 %), and skin closure alone in 3 (5 %) patients. Overall, 50 % had associated anomalies. The most common associated anomaly was malrotation (30 %). Mortality rate was 24.5 %; 53.3 % of these patients died in the first postoperative day. While the highest mortality rate was observed in the patients who underwent silo procedure, none of the patients undergoing skin closure alone died. Conclusion: Because of high rate of severe associated anomaly that needs to be treated, all omphalocele cases should be evaluated carefully for such anomalies. Particularly those patients who are treated with silo technique should be followed-up for sepsis, it should be kept in mind that primary closure may increase mortality by causing high intraabdominal pressure in patients with underdeveloped abdominal cavity. Secondary fascial repair should be prefered suspicious cases.
Açıklama
Anahtar Kelimeler
Abdominal Wall Defects, Congenital Anomaly, Mortality, Omphalocele
Kaynak
Cocuk Cerrahisi Dergisi
WoS Q Değeri
Scopus Q Değeri
N/A
Cilt
21
Sayı
2
