A RESEARCH STUDY TO DETERMINE THE EFFECTIVENESS OF UMBRELLA REPAIR OF GIANT OMAPHALOCELE

Introduction: Although many techniques have been described Reconstruction of the giant omphalocele, simple, effective and new safe technique. The aim of this study was to analyze the efficacy of umbrella repair of giant omaphalocele. Place and Duration: In the Department of Pediatric Surgery Nishter Hospital, Multan for three year duration from March 2016 to March 2019. Materials and methods: We have studied 11 neonates with giant omphalocele that were treated by a new technique, Umbrella repair. In this new technique near the omphalocele membrane, we released the skin around the omphalocele just near the junction and a purse string suture is placed at the edge of the skin with beads beneath each bite and graded tightening of the suture in order to push the omphalocele toward the abdominal cavity. Finally, we compare the results. Results: Among total eleven patients, weight and mean age at the time of operation were 2150 grams and 2.18 days respectively. Comparing the results between groups, we observed significant less operative time and number of surgeries in neonatal period among patients who were managed by umbrella repair. Postoperative complications, mortality and morbidity in the umbrella repair group methods were also fewer than coventional methods. Conclusion: umbrella repair ensures a quick and safe method for giant omphalocele management with less morbidity and mortality Keywords: Giant omphalocele, surgical complications, Umbrella repair