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CC BY-NC 4.0 · Arch Plast Surg 2016; 43(03): 258-264
DOI: 10.5999/aps.2016.43.3.258
Original Article

Management of the Sequelae of Severe Congenital Abdominal Wall Defects

Sara Fuentes
General Pediatric Surgery Department, Nino Jesus University Hospital, Madrid, Spain
,
Eunate Marti
Pediatric Plastic Surgery Department, 12 de Octubre University Hospital, Madrid, Spain
,
Maria-Dolores Delgado
Pediatric Plastic Surgery Department, 12 de Octubre University Hospital, Madrid, Spain
,
Andres Gomez
Pediatric Plastic Surgery Department, 12 de Octubre University Hospital, Madrid, Spain
› Author AffiliationsThis article was presented as a poster at the XLVIII Meeting of the Spanish Society of Pediatric Surgery on May 2009, in Seville, Spain.
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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.

Keywords

Gastroschisis - Umbilical hernia - Abdominal wall - Abdominal muscles - Hernia, ventral


Publication History

Received: 20 January 2016

Accepted: 29 March 2016

Article published online:
20 April 2022

© 2016. The Korean Society of Plastic and Reconstructive Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonCommercial License, permitting unrestricted noncommercial use, distribution, and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes. (https://creativecommons.org/licenses/by-nc/4.0/)

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