Management of Omphalocele at the Regional Hospital Fousseyni Daou of Kayes, Mali

Introduction: the omphalocele is defined as a congenital malformation of the abdominal wall from the umbilical ring leading to non-integration of the viscera covered by an amniotic and avascular membrane. The cord still fits over the membrane. There are sometimes cavities between the viscera and the membrane that contain wharton jelly. The frequency is 1 case in 6000 births in France and 1 case in 5000 in Germany. We conducted this study in order to describe the epidemiological aspects and to evaluate the therapeutic results of omphaloceles in the regional hospital of Kayes. Materials and methods: We conducted a 15-month retrospective study from January 2020 to March 2021 in the pediatric surgery unit of the Kayes regional hospital, all newborns (0 to 6 days old) admitted to the ward with omphalocele were included. in the study. Other newborns with a malformation in addition to laparochisis were excluded from the study. Results: 11 patients were recorded in the study including 7 boys and 4 girls. The average age was 3.5 days and the average weight was 3 kg 350. According to the classification of Aitken 7 were type II and 4 cases type I. The technique of primary musculo-aponeurotic closure was used in all cases. Intraoperative hepatic hemorrhage occurred in 2 cases. We had recorded 2 deaths. No mother had a history of taking teratogenic drugs, 7 were multiparts. Ultrasound had found omphaloceles in 3 antenatal patients. Conclusion: Omphaloceles is a surgical emergency for which the management is multidisciplinary and requires an antenatal ultrasound.