Abstract
For repairing the abdominal wall anomaly, cosmetic outcome should be considered. We report a newborn with omphalocele and intestinal injury requiring ileostomy at the umbilicus, and an initial operation followed by umbilicoplasty was then performed. A 2,430 g male infant with omphalocele was delivered at 38-weeks and 3 days gestation. At birth, a ruptured hernia sac with multiple intestinal injuries (cecum and jejunum) and Meckel's divertitculum were encountered. We perfromed an ileostomy at the umbilicus to decrease surgical scars, and pursued a favorable cosmetic outcome. Eighteen days after the initial operation, closure of ileostomy and umbilicoplasty with three triangular skin flaps were performed. The postoperative clinical course was uneventful, and he was discharged from the hospital on day 30 after birth. He has been healthy for four months postoperatively, with a near-normal appearance of the umbilicus. Umbilicoplasty for the patient with hernia in the umbilical cord can be performed even after performing an umbilical stoma.
