Management of giant omphalocele by progressive external compression: Case report

Abstract The management of giant omphalocele remains a major surgical challenge. A staged approach is mandatory to achieve an uncomplicated reduction. The case of a child conservatively and successfully treated by progressive external compression of the herniated organs and viscera using an elastic bandaging is described here. The complete integration of the omphalocele content and the closure of the abdominal wall were obtained in 9 days. No ventilatory support was required. the procedure is easy, safe, effective and inexpensive. Large base and intact amniotic sac are prerequisites for feasibility.