1.Management of the Sequelae of Severe Congenital Abdominal Wall Defects.
Sara FUENTES ; Eunate MARTI ; Maria Dolores DELGADO ; Andres GOMEZ
Archives of Plastic Surgery 2016;43(3):258-264
BACKGROUND: The survival rate of newborns with severe congenital abdominal wall defects has increased. After successfully addressing life-threatening complications, it is necessary to focus on the cosmetic and functional outcomes of the abdominal wall. METHODS: We performed a chart review of five cases treated in our institution. RESULTS: Five patients, ranging from seven to 18 years of age, underwent the following surgical approaches: simple approximation of the rectus abdominis fascia, the rectus abdominis sheath turnover flap, the placement of submuscular tissue expanders, mesh repair, or a combination of these techniques depending on the characteristics of each individual case. CONCLUSIONS: Patients with severe congenital abdominal wall defects require individualized surgical treatment to address both the aesthetic and functional issues related to the sequelae of their defects.
Abdominal Muscles
;
Abdominal Wall*
;
Fascia
;
Gastroschisis
;
Hernia, Umbilical
;
Hernia, Ventral
;
Humans
;
Infant, Newborn
;
Rectus Abdominis
;
Survival Rate
;
Tissue Expansion Devices