please write the answer and your justification, correct answer will be submitted after 48 hrs

 

A 36 week, 2.8 kg infant is born with a prenatally diagnosed small omphalocele. Both the karyotype and fetal echocardiogram were normal, and the infant is breathing comfortably on room air.

 

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[size=20px]The preferred management of this small omphalocele is

 

A Umbilical cord dessication by air exposure

 

B Ligation above Wharton’s jelly

 

C Reduction of contents by cord twisting, with ligation at base of cord

 

D Primary fascial closure[/size]

D

C

B and schedule him later for hernia repair as an ellective

D

D

C

correct answer:

D Primary fascial closure

 

Management options for small omphaloceles or congenital umbilical cord hernias include umbilical cord ligation or formal sutured closure of the defect.

The risk of inadvertent ligation of a knuckle of intestine that is frequently adherent to the peritoneum is well described, and so this technique should be avoided altogether.

 

fascial closure is accomplished by opening the sac, reducing the viscera and closing the fascial defect.

D