Bipedicled skin flaps for reconstruction of the abdominal wall in newborn omphalocele.

Abstract

Despite technical refinements in surgery and advances in postoperative intensive care, abdominal wall closure in giant omphalocele remains a difficult endeavor. In this respect, bipedicled skin flaps obtained with longitudinal incisions along the margins of the rectus abdominis muscle may represent a good alternative solution to achieve a complete, tension-free midline closure. Incisional areas can subsequently be easily covered with split-thickness thigh grafts. Two neonatal cases were treated with this technique with good results. This has enabled avoidance of palliative coverage as well as complex musculo-cutaneous reconstructions at a later age.

• Authors: A Zaccara, M Zama, A Trucchi, A Nahom, F De Stefano, P Bagolan
• Journal: Journal of pediatric surgery (J Pediatr Surg) Vol. 38 Issue 4 Pg. 613-5 (Apr 2003) ISSN: 1531-5037 [Electronic] United States
• PMID: 12677577 (Publication Type: Case Reports, Evaluation Study, Journal Article)
• Copyright: Copyright 2003, Elsevier Science (USA). All rights reserved.

Chemical References

• Polytetrafluoroethylene

Topics

• Abdominal Wall (surgery)
• Female
• Hernia, Umbilical (surgery)
• Humans
• Infant, Newborn
• Infant, Premature
• Polytetrafluoroethylene
• Rectus Abdominis (surgery)
• Surgical Flaps
• Thigh