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Related Experiment Video

Updated: Mar 18, 2026

Midface Hypoplasia and Cranial Base Morphology in Syndromic Craniosynostosis: A Comparative Analysis Study Using a Predictive Regression Model
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Exomphalos Defects : A Review of 15 Cases.

B Puri1, D K Sreevastava2

  • 1Senior Advisor (Surgery and Paediatric Surgery), Army Hopsital (R & R), New Delhi.

Medical Journal, Armed Forces India
|July 14, 2016
PubMed
Summary
This summary is machine-generated.

Monitoring intra-abdominal pressures, specifically urinary bladder pressure, is crucial for successful exomphalos defect repair. This method helps prevent abdominal compartment syndrome, leading to satisfactory outcomes in neonates with omphaloceles.

Keywords:
Abdominal wall defectsIntra-abdominal pressureIntravesical pressure measurementOmphalocele

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Area of Science:

  • Pediatric Surgery
  • Neonatal Care
  • Congenital Anomalies

Background:

  • Exomphalos (omphalocele) repair outcomes have improved due to surgical advancements and multidisciplinary care.
  • Monitoring intra-abdominal pressures is key in managing these complex cases.

Purpose of the Study:

  • To evaluate the outcomes of exomphalos defect repair.
  • To assess the utility of intra-abdominal pressure monitoring in surgical management.

Main Methods:

  • Retrospective review of 15 omphalocele cases.
  • Measurement of urinary bladder pressure (UBP) to assess intra-abdominal pressure.
  • Surgical closure techniques included immediate primary closure, silo repair, Goretex mesh, and conservative management.

Main Results:

  • Nine major (defect > 5 cm) and six minor exomphalos defects were identified.
  • Primary closure was achieved in 56% of major defects.
  • Intraoperative UBP monitoring guided management, preventing closure when pressures exceeded 20 mm Hg.

Conclusions:

  • Satisfactory outcomes are achievable for exomphalos defects.
  • Intraoperative intravesical pressure assessment is a practical method to exclude abdominal compartment syndrome during repair.