Management of the Sequelae of Severe Congenital Abdominal Wall Defects.
10.5999/aps.2016.43.3.258
- Author:
Sara FUENTES
1
;
Eunate MARTI
;
Maria Dolores DELGADO
;
Andres GOMEZ
Author Information
1. General Pediatric Surgery Department, Nino Jesus University Hospital, Madrid, Spain. sarafuentesc@yahoo.es
- Publication Type:Original Article
- Keywords:
Gastroschisis;
Umbilical hernia;
Abdominal wall;
Abdominal muscles;
Hernia, ventral
- MeSH:
Abdominal Muscles;
Abdominal Wall*;
Fascia;
Gastroschisis;
Hernia, Umbilical;
Hernia, Ventral;
Humans;
Infant, Newborn;
Rectus Abdominis;
Survival Rate;
Tissue Expansion Devices
- From:Archives of Plastic Surgery
2016;43(3):258-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
