10 doctors weighed in:

Are there non-surgical methods to treat omphalocele?

10 doctors weighed in
Dr. Frazier Frantz
Surgery - Pediatric
5 doctors agree

In brief: Temporarily

In patients born with giant omphaloceles, typically containing the liver and a good portion of the intestines, immediate fascial closure is not an option because of the absence of a peritoneal cavity.
In these circumstances, the omphalocele sac can be treated with scarifying agents until the baby has grown enough (commonly, years) & developed an adequate peritoneal cavity for fascial repair.

In brief: Temporarily

In patients born with giant omphaloceles, typically containing the liver and a good portion of the intestines, immediate fascial closure is not an option because of the absence of a peritoneal cavity.
In these circumstances, the omphalocele sac can be treated with scarifying agents until the baby has grown enough (commonly, years) & developed an adequate peritoneal cavity for fascial repair.
Dr. Frazier Frantz
Dr. Frazier Frantz
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Dr. James Ferguson
Pediatrics
3 doctors agree

In brief: No

The umbilical cord remains healthy & intact bathing in the watery environment of the womb, but is a throw away part of the newborn and soon dries and withers in open air. The omphalocoel has abdominal contents surrounded by thin peritomeum and the umbilical membrane.
Neither has a tolerance for drying & both will break down & permit germs to enter and eventually lead to fatal outcome if untreated.

In brief: No

The umbilical cord remains healthy & intact bathing in the watery environment of the womb, but is a throw away part of the newborn and soon dries and withers in open air. The omphalocoel has abdominal contents surrounded by thin peritomeum and the umbilical membrane.
Neither has a tolerance for drying & both will break down & permit germs to enter and eventually lead to fatal outcome if untreated.
Dr. James Ferguson
Dr. James Ferguson
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Dr. Stephen Kim
Surgery - Pediatric

In brief: Yes

In the newborn period, large omphalocele can be treated non-operatively.
It requires close monitoring by the neonatologist and pediatric surgeon. The sac can be covered with a variety of substances, such as silvadene, (silver sulfadiazine) to allow gradual epithelization of the sac. The fascial/muscular defect can be surgically closed later in life.

In brief: Yes

In the newborn period, large omphalocele can be treated non-operatively.
It requires close monitoring by the neonatologist and pediatric surgeon. The sac can be covered with a variety of substances, such as silvadene, (silver sulfadiazine) to allow gradual epithelization of the sac. The fascial/muscular defect can be surgically closed later in life.
Dr. Stephen Kim
Dr. Stephen Kim
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