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Babies with the disease should be done at a hospital with a Child Surgery Clinic at birth. Since the volume of the abdomen is small, a nasogastric catheter should be inserted immediately to prevent intestinal distention. If the pouch is torn, the intestines will be outside the abdomen and the same precautions should be taken in gastroschisis. Conservative treatment may be applied to the intact omphalocele for a while. If the pouch is torn, emergency surgical repair should be done. In the small and medium sized omphalos, the omphalocele incision is excised and the abdominal primer is closed by examination of intra abdominal anomaly. If the omphalocele is large and the volume of the abdomen is small, skin or muscles can be used or the abdomen can be covered with synthetic materials because primary repair will compress diaphragm and vena cava. If omphalocele is very large or serious anomaly, firstly antibiotic-accelerating antiseptic solutions such as merbromine (Mersol) or povidone-iodine are applied on the pouch once a day and then repaired at a later date. It is important to know that when using solutions, mercury poisoning or hypothyroidism due to absorption through the membrane may develop.
