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OMPHALOCELE GASTROSCHISIS
Exomphalos and gastroschisis are two different congenital anomalies
Opening 5 cm
Infants have better prognosis than those with an omphalocele (Mortality is approximately
10% )
all pediatric umbilical hernias are congenital and form as a hernia through a
persistent umbilical ring.
subcutaneous tissue and skin covering the protruding bowel
Incidence : one in every six live birth
Premature and low birth weight infants have a higher incidence than full-term
infants
spontaneous resolution rates of 83% to 95% by 6 years of age, so it
seems very safe to simply observe the hernia to allow closure to occur.
If complications occur, the defect is large or defect not close
spontaneously surgical closure is indicated
EPIGASTRIC HERNIA
Hernias of the abdominal wall through the midline linea alba, termed
epigastric hernias,
Presents as small masses, between the umbilicus and xiphoid process.
usually contains extra peritoneal fat.
Can be multiple.
Epigastric hernias do not resolve and should be repaired.
Staged Closure
Skin Flaps