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KMID : 1038220160430030258
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Archives of Plastic Surgery
2016 Volume.43 No. 3 p.258 ~ p.264
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Management of the Sequelae of Severe Congenital Abdominal Wall Defects
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Sara Fuentes
Eunate Marti
Maria-Dolores Delgado
Andres Gomez
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Abstract
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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.
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KEYWORD
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Gastroschisis, Umbilical hernia, Abdominal wall, Abdominal muscles, Hernia, ventral
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