DETERMINITION THE EFFICACY OF UMBRELLA REFURBISHING OF GAINT OMAPHALOCELE

Introduction: The aim of this study was to analyze the efficacy of umbrella repair of giant omaphalocele. Although many techniques have been described reconstruction of the giant omphalocele, simple, effective and new safe technique. Place and Duration: In the Mew Hospital, Lahore for three years duration from December 2015 to December 2018. Materials and methods: In the study for duration of three years we explore our assessment and research that 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: Postoperative complications, mortality and morbidity in the umbrella repair group methods were also fewer than conventional methods. 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. Conclusion: Refurbishing or umbrella repair ensures a quick and safe method for giant omphalocele management with less morbidity and transience. Keywords: Surgical complications, Umbrella repair, Giant omphalocele