Use of a vertical traction device in a two-stage repair of a giant omphalocoele

Giant omphalocoeles, defined by a defect larger than 5 cm or significant liver herniation, present unique challenges due to viscero-abdominal disproportion. Traditional staged closure techniques aim to gradually reduce herniated organs but carry risks such as abdominal compartment syndrome and prolonged recovery. The use of an innovative vertical traction approach improves the compliance of the abdominal cavity through stretching of muscles and fascia and enables tension-free closure. We present the case of a female neonate with giant omphalocoele treated with this device.