Cliniques en santé maternelle et infantile

Abstrait

Techniques and Results of the Conservative Treatment of Giant Omphalocele with 2% Disodium Aqueous Eosin

Kouame D Bertin, Odehouri-Koudou TH, Sounkere M, Yaokreh J, Tembely S, Yapo KGS, Boka R, Koffi M, Dieth AG, Ouattara O and Dick R

Aim: Describe the techniques and results of the conservative treatment of giant omphalocele with aqueous eosin.

Material and Methods: It was a 15 years conservative treatment retrospective study of giant omphalocele with 2% disodium eosin aqueous. The technique consisted of the twice a day application of 2% eosin on the omphalocele bag (sterile solution for cutaneous application). The technique was taught to the mother to continue with the outpatient care. We studied the duration of hospitalization, the learning curve of the technique through the mother, the intercurrent complications, the complete epithelialization percentage and the mortality.

Results: A total number of 173 giant omphaloceles had a conservative treatment with 2% aqueous eosin. The average length of hospitalization was 21 ± 6 days. The learning curve of the application of the aqueous eosin on
the bag omphalocele through the mother was 10 ± 3 days. Complications of treatment were 22% functional bowel obstruction and 18% infection of the omphalocele bag. The complete epithelialization of the omphalocele bag after the application of the 2% aqueous eosin was 68.5%. The mortality was observed in 25.5% of cases.

Conclusion: The giant omphalocele conservative treatment with aqueous eosin is a simple, efficient technique and a good alternative to surgery. The learning through the mother reduces the length of hospital stay.