Management of the abdominal wall defect in the prune belly syndrome by muscle transposition: An 18-year follow-up

This chapter discusses omphalocele, which is a neonatal abdominal wall defect through which abdominal visceral content herniates. Although omphalocele is similar in gross appearance to gastroschisis, it is more frequently associated with chromosomal abnormalities such as trisomies 13, 15, 18, and 21, and syndromes such as Beckwith-Wiedemann, Rieger’s, and prune belly syndrome. It is also more frequently associated with anomalies in other organ systems. Management of infants with Beckwith-Wiedemann syndrome and omphalocele can be challenging due to the concurrent risk of difficult airway and aspiration. Associated comorbidities also need to be addressed to avoid secondary insults in the perioperative period.

Download Full-text

Neurovascular Latissimus Dorsi Free-Flap Transfer for Reconstruction of a Major Abdominal-Wall Defect in a 13-Month-Old Child: Late Follow-Up

Journal of Reconstructive Microsurgery ◽

10.1055/s-2004-823111 ◽

2004 ◽

Vol 20 (3) ◽

pp. 237-240 ◽

Cited By ~ 5

Keyword(s):

Abdominal Wall ◽

Free Flap ◽

Latissimus Dorsi ◽

Abdominal Wall Defect ◽

Wall Defect ◽

Flap Transfer ◽

Free Flap Transfer

Download Full-text

Vanishing Gastroschisis with a Favorable Outcome after a 3-Year Follow-Up: A Case Report and Literature Review

Case Reports in Obstetrics and Gynecology ◽

10.1155/2020/8542087 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6

Author(s):

Elise Abi Rached ◽

N. Sananes ◽

I. Kauffmann-Chevalier ◽

F. Becmeur

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Abdominal Wall Defect ◽

Favorable Outcome ◽

University Hospital ◽

Wall Defect ◽

Type D ◽

Long Term Follow Up

Vanishing gastroschisis (VG) is a severe complication of gastroschisis with a high mortality rate. We report here a case of VG with a favorable outcome after a 3-year follow-up. A 26-year-old primigravida woman was referred to Strasbourg University Hospital because her fetus was diagnosed with an isolated gastroschisis at 13-week gestation. The ultrasound evolution was marked by a progressive closure of the abdominal wall defect from 19-week gestation and the appearance of dilated intra-abdominal loops. The child was born with a closed abdominal wall except a small remnant at the level of the former gastroschisis orifice. Explorative laparotomy revealed extensive midgut atresia with only 50 cm of remaining midgut. A jejunocolic anastomosis was performed. The child is now 3 years old and has a favorable outcome with only 2 nights a week of parenteral nutrition. A total of 39 cases of VG type D from Perrone et al. classification are described in the literature from 1991 to 2019, among which 19 (48.7%) are alive at the time of publication but only 4 cases are described with a long-term follow-up of 3 years or more. This is the fifth case described with a favorable evolution after 3-year follow-up.

Download Full-text

Caesarean Scar Endometriosis May Require Abdominoplasty

Clinical Medicine Insights Case Reports ◽

10.1177/11795476211027666 ◽

2021 ◽

Vol 14 ◽

pp. 117954762110276

Author(s):

Barczyński Bartłomiej ◽

Sobstyl Małgorzata ◽

Frąszczak Karolina ◽

Sobstyl Anna

Keyword(s):

Surgical Treatment ◽

Abdominal Wall ◽

Abdominal Wall Defect ◽

Uterine Cavity ◽

Tumour Resection ◽

Wall Defect ◽

Scar Endometriosis ◽

Caesarean Scar ◽

Hernia Prevention

Endometriosis is defined as an ectopic presence of endometrium-like tissue outside uterine cavity, which most commonly involves intraperitoneal organs. However, one of the less frequent forms of the disease is abdominal wall endometriosis usually developing in surgical scars following obstetric and gynaecological surgeries involving uterine cavity entering, that is, caesarean section, myomectomy or hysterectomy. In this case report we present a case of a patient with extensive caesarean scar endometriosis, who required complex surgical management. Successful surgical treatment involved not only radical tumour resection and application of mesh in postoperative hernia prevention but also adequate wound closure ensuring satisfactory cosmetic results, which was most challenging. The abdominal wall defect could not be sutured by traditional technique, thus polypropylene mesh was used and partial abdominoplasty was performed. The wound healed without complication and 24-month follow-up showed no evidence of local recurrence and satisfactory cosmetic result. In case of extensive endometrial abdominal wall tumours surgical treatment may involve application of advanced plastic surgery techniques, like abdominoplasty or skin/musculocutaneous flaps transposition.

Download Full-text