Operative versus conservative treatment for giant omphalocele: Study of French and Ivorian management.

Autor: Binet A; Visceral Pediatric Surgery Unit, University Hospital Centre of Tours, Gatien de Clocheville Hospital, 37000 Tours, France. Electronic address: aurelien.binet@univ-tours.fr., Scalabre A; Visceral Pediatric Surgery Unit, University Hospital Centre of Saint-Etienne, 42270 Saint-Étienne, France., Amar S; Visceral Pediatric Surgery Unit, University Hospital Centre of Tours, Gatien de Clocheville Hospital, 37000 Tours, France., Alzahrani K; Visceral Pediatric Surgery Unit, University Hospital Centre of Tours, Gatien de Clocheville Hospital, 37000 Tours, France., Boureau C; Visceral Pediatric Surgery Unit, University Hospital Centre of Tours, Gatien de Clocheville Hospital, 37000 Tours, France., Bastard F; Visceral Pediatric Surgery Unit, University Hospital Centre of Angers, 49000 Angers, France., Lefebvre F; Pediatric Surgery Unit, University Hospital Centre of Reims, 51000 Reims, France., Koffi M; Pediatric Surgery Unit, University Hospital Centre of Yopougon, Abidjan, Ivory Coast., Moufidath S; Pediatric Surgery Unit, University Hospital Centre of Yopougon, Abidjan, Ivory Coast., Nasser D; Pediatric Surgery Unit, University Hospital Centre of Yopougon, Abidjan, Ivory Coast., Ouattara O; Pediatric Surgery Unit, University Hospital Centre of Yopougon, Abidjan, Ivory Coast., Kouame BD; Pediatric Surgery Unit, University Hospital Centre of Yopougon, Abidjan, Ivory Coast., Lardy H; Visceral Pediatric Surgery Unit, University Hospital Centre of Tours, Gatien de Clocheville Hospital, 37000 Tours, France.
Jazyk: angličtina
Zdroj: Annales de chirurgie plastique et esthetique [Ann Chir Plast Esthet] 2020 Apr; Vol. 65 (2), pp. 147-153. Date of Electronic Publication: 2019 Apr 30.
DOI: 10.1016/j.anplas.2019.03.004
Abstrakt: Introduction: The giant omphalocele is currently a surgical challenge. The morbidity and mortality associated with its care is non-negligible. Nowadays, different studies have revived the debate between conservative and surgical management for giant omphalocele. The purpose of this study is to compare the conservative and surgical management of the giant omphalocele in terms of morbidity and mortality.
Methods: Retrospective study including all giant omphaloceles comparing surgical management (French University hospital centers) and tanning (Ivory Coast University hospital center). Epidemiology was studied as well as medical and surgical managements both intra and post operative.
Results: One hundred and forty-seven patients included (98 patients in the "tanning" group and 49 in the "surgery" group). Hospital length of stay is significantly shorter in the "tanning" group as they do not spend time in intensive care unit. Morbidity is higher in "surgery" group. The average duration for oral empowerment was acquired at 179 days in the "surgery" group, whereas in the "tanning" group 90% was immediately and exclusively breastfed. No significant differences in terms of epithelialization time.
Conclusion: The tanning treatment has its own place in the therapeutic arsenal in the management of the giant omphalocele no matter where it takes place. However, its realization in surgical environments prevents certain complications related to the technique or the pathology.
(Copyright © 2019 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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