BACKGROUND: Conservative management for major omphalocoele with topical agents as escharotics therapy is well established in practice. Different agents have been used in the past, including @entity54541 and @entity285 , proved later to be unsafe. The aim of this study is to evaluate the efficacy and safety of the application of Acacia nilotica paste compared to @entity4279 solution as a primary non-surgical treatment of major omphalocoele. @entity1 AND METHODS: A double-blind, randomised study was conducted on 24 cases of major omphalocoele where they were randomly divided into two equal groups; Group A treated with topical application of A. nilotica paste and Group B treated with topical application of @entity4279 solution. Cases with @entity6675 , @entity397 or minor omphalocoele were excluded from the study. The evaluating parameters were size of the @entity4438 in cm, period of mechanical ventilation if needed, time required for full oral feeding tolerance, duration of hospital stay and any short- or long-term complications. RESULTS: There was no statistical significant difference between both groups regarding their gestational or post-natal age, weight and the mean umbilical port defect. @entity1 from Group A tolerated full oral feeding earlier and had shorter total hospital stay duration than those from Group B, but without a statistical significant difference (P = 0.347 and 0.242, respectively). The overall mortality rate was 33.3% without a statistical significant difference between both groups (P = 0.667). CONCLUSIONS: Application of A. nilotica is a safe and effective treatment of major omphalocoele as it was associated with rapid full enteral feeding tolerance, short duration of hospital stay and low mortality rate.

Topical treatment of major omphalocoele: Acacia nilotica versus XXXX : A randomised controlled study.

@entity1 :: ('9606', 'Species') :: ['Patients', 'PATIENTS'] @entity4438 :: ('MESH:C563219', 'Disease') :: ['fascial defect'] @entity4279 :: ('MESH:D011206', 'Chemical') :: ['povidone-iodine'] @entity6675 :: ('MESH:D020139', 'Disease') :: ['gastroschisis'] @entity397 :: ('MESH:D012421', 'Disease') :: ['ruptured major omphalocoele'] @entity285 :: ('D000431', 'Chemical') :: ['alcohol'] @entity54541 :: ('MESH:D008622', 'Chemical') :: ['mercurochrome']
@entity4279 :: (MESH:D011206,Chemical) :: ['povidone-iodine']
