Functional, motor developmental, and long-term outcome after the component separation technique in children with giant omphalocele: A case control study

Abstract Background/Purpose The objective of this study was to evaluate the long-term functional and motor development and abdominal muscle quantity in children operated on for giant omphalocele (GOC) with the Component Separation Technique (CST). Methods Between 2004 and 2007, CST was applied in el...

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Published in:Journal of pediatric surgery 2013-03, Vol.48 (3), p.525-532
Main Authors: van Eijck, Floortje C, van Vlimmeren, Leo A, Wijnen, René M.H, Klein, Willemijn, Kruijen, Iris, Pillen, Sigrid, Nijhuis-van der Sanden, Maria W.G
Format: Article
Language:English
Subjects:
Case-Control Studies
Child
Child Development
Child, Preschool
Component separation technique
Female
Functional and motor development
Giant omphalocele
Hernia, Umbilical - surgery
Herniorrhaphy - methods
Humans
Infant
Long-term outcome
Male
Pediatrics
Psychomotor Performance
Surgery
Time Factors
Treatment Outcome
Ultrasound
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Summary:Abstract Background/Purpose The objective of this study was to evaluate the long-term functional and motor development and abdominal muscle quantity in children operated on for giant omphalocele (GOC) with the Component Separation Technique (CST). Methods Between 2004 and 2007, CST was applied in eleven consecutive infants with GOC. Eight underwent ultrasound of the abdominal wall and muscles, assessment of functional and motor development using the Movement Assessment Battery for Children, 2nd Edition (M-ABC-2), and an observational physical examination focused on possible abnormalities in stature and movements related to GOC. Findings were compared with those in age-matched controls. The parents filled in a questionnaire on the children‘s functioning in daily life. Results The mean age at evaluation was 71 months (range, 42–141 months) with a median time of follow-up of 54 months (range, 38–84 months). Ultrasound of the abdominal wall muscles showed normal muscle thickness. In seven of the eight children, a rectus diastasis was seen without any protrusion. The MABC-2 was within the normal range, and stature and motor coordination did not differ from those in controls. Conclusions After 4.5 years, these children show normal thickness of all abdominal wall muscles and motor function within the normal range, despite a rectus diastasis. The CST seems to be a promising closure technique for GOC.
ISSN:0022-3468
1531-5037
DOI:10.1016/j.jpedsurg.2012.08.010