[An experience with Nakajo's method for large intact omphaloceles --success in 6 newborn infants]

Six serial newborn cases with large intact omphaloceles treated by Nakajo's method (modified Schuster's) were reported. The different point of this method from Schuster's is as follows; the silastic sheets are sutured to the skin around omphalocele, not to the rectus fascia. This procedure can be carried out under local anesthesia. As amnionic membrane leaves intact, reduction and trimming of the sheet can be safely done without anesthesia and injury of the intestine can be avoided. Stretching the abdominal wall and increasing the size of the abdominal cavity are the same as in Schuster's method. In this series, direct suture of abdominal wall became possible within a 5 to 10 day period after the first procedure. All six babies are alive. In conclusion, Nakajo's method is safe and useful one for large intact omphaloceles.