Type of Surgery
Information
Last updated: 02/17/2009
All surgery has risks, from the procedure itself as well as the anesthesia. Infection and bleeding are the two primary risks of surgery. Breathing problems and reactions to the anesthesics are the main risks from anesthesia. In addition to these standard...
surgical risks, an omphalocele repair has the associated risks of damage to the organs on the outside of the body, additional breathing problems from the added pressure inside the abdominal cavity when the contents are returned, infection of the abdominal cavity (peritonitis), and a slowing or paralysis of the bowels (paralytic ileus).
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Definition:
Omphalocele repair is surgery to repair a birth defect in which all or parts of the small intestine, liver, and large intestine stick outside of the abdomen.
For information on the condition itself, see: Omphalocele
Description:
The procedure is similar to gastroschisis repair.
The goal of surgery is to place the abdominal organs back into the body and to repair the defect, if possible. If this can not be done immediately, a sac is created to hold and protect the intestines, which are slowly pushed back into the abdomen over a few weeks.
Immediately after delivery, the baby's exposed organs are covered with warm, moist, sterile dressings. A nasogastric (NG) tube is inserted through the baby's nose or mouth into the stomach to keep the stomach empty. This prevents choking and breathing stomach contents into the lungs.
While the baby is under general anesthesia (asleep, no pain), the surgeon makes a cut to remove the sac surrounding the organs. The intestine is examined closely for signs of damage or additional birth defects. Damaged or defective parts are removed and the healthy edges are stitched together.
A tube may be inserted into the stomach and out through the skin.
Additional surgery may be needed to repair the abdominal muscles at a later time.
Other Information
An obstetrician/gynecologist, commonly abbreviated as OB/GYN, can serve as a primary physician and often serve as consultants to other physicians.
From: womenshealthchannel.com
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