Study of abdominal wall muscle innervation applied to large‐defect closure in congenital diaphragmatic hernia

2019 ◽  
Vol 33 (5) ◽  
pp. 759-766
Author(s):  
Eva Solé Cruz ◽  
Pierre‐Yves Rabattu ◽  
Alban Todesco ◽  
Alexandre Bellier ◽  
Philippe C. Chaffanjon ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Defect Closure ◽  
Large Defect ◽  
Muscle Innervation ◽  
Abdominal Wall Muscle

Use of abdominal wall muscle flap in repair of large congenital diaphragmatic hernia

1971 ◽  
Vol 6 (1) ◽  
pp. 42-44 ◽  
Author(s):  
James S. Simpson ◽  
John D. Gossage
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Muscle Flap ◽  
Abdominal Wall Muscle

Abdominal wall closure in neonates after congenital diaphragmatic hernia repair

2013 ◽  
Vol 48 (5) ◽  
pp. 930-934 ◽  
Author(s):  
Damian Maxwell ◽  
Robert Baird ◽  
Pramod Puligandla
Keyword(s):  
Hernia Repair ◽  
Congenital Diaphragmatic Hernia ◽  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Abdominal Wall Closure ◽  
Diaphragmatic Hernia Repair

scholarly journals Temporary Abdominal Wall Closure in Congenital Diaphragmatic Hernia by Bogota Bag Method

2017 ◽  
Vol 6 (4) ◽  
pp. 80
Author(s):  
RaviKumar Ramanathan Valkodai
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Abdominal Compartment Syndrome ◽  
Diaphragmatic Hernia ◽  
Index Case ◽  
The Other ◽  
Abdominal Wall Closure ◽  
Temporary Closure ◽  
Abdominal Compartment

In neonatal congenital diaphragmatic hernia (CDH) repair if the abdomen is closed with tension it poses the problem of abdominal compartment syndrome (ACS). In the index case with ACS, temporary closure of the abdomen was achieved with sterile urobag called the ‘Bogota bag technique’ with successful complete closure of abdomen after seven days. The other methods of temporary closure of the abdomen are discussed with emphasis on prevention of abdominal compartment syndrome. The ease and simplicity of the technique of urobag utilisation in such situation is outlined in the article.

scholarly journals Coexistence of congenital diaphragmatic hernia and abdominal wall closure defect with chromosomal abnormality: two case reports

2016 ◽  
Vol 10 (1) ◽  
Author(s):  
Seiichiro Inoue ◽  
Akio Odaka ◽  
Yuki Muta ◽  
Yoshifumi Beck ◽  
Hisanori Sobajima ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Chromosomal Abnormality ◽  
Case Reports ◽  
Abdominal Wall Closure

Experience with abdominal wall closure for patients with congenital diaphragmatic hernia repaired on ECMO

1995 ◽  
Vol 30 (1) ◽  
pp. 19-22 ◽  
Author(s):  
Jay J Schnitzer ◽  
Colin S Kikiros ◽  
Billie L Short ◽  
Ann O'Brien ◽  
Kathryn D Anderson ◽  
...  
Keyword(s):  
Congenital Diaphragmatic Hernia ◽  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Abdominal Wall Closure

scholarly journals Longitudinal Follow-Up With Radiologic Screening for Recurrence and Secondary Hiatal Hernia in Neonates With Open Repair of Congenital Diaphragmatic Hernia—A Large Prospective, Observational Cohort Study at One Referral Center

2021 ◽  
Vol 9 ◽  
Author(s):  
Katrin B. Zahn ◽  
Thomas Schaible ◽  
Neysan Rafat ◽  
Meike Weis ◽  
Christel Weiss ◽  
...  
Keyword(s):  
Risk Factors ◽  
Congenital Diaphragmatic Hernia ◽  
Abdominal Wall ◽  
Diaphragmatic Hernia ◽  
Open Repair ◽  
Primary Repair ◽  
Complication Rates ◽  
Referral Center ◽  
Radiologic Imaging

Objective: After neonatal repair of congenital diaphragmatic hernia (CDH) recurrence is the most severe surgical complication and reported in up to 50% after patch implantation. Previous studies are difficult to compare due to differences in surgical techniques and retrospective study design and lack of standardized follow-up or radiologic imaging. The aim was to reliably detect complication rates by radiologic screening during longitudinal follow-up after neonatal open repair of CDH and to determine possible risk factors.Methods: At our referral center with standardized treatment algorithm and follow-up program, consecutive neonates were screened for recurrence by radiologic imaging at defined intervals during a 12-year period.Results: 326 neonates with open CDH repair completed follow-up of a minimum of 2 years. 68 patients (21%) received a primary repair, 251 (77%) a broad cone-shaped patch, and 7 a flat patch (2%). Recurrence occurred in 3 patients (0.7%) until discharge and diaphragmatic complications in 28 (8.6%) thereafter. Overall, 38 recurrences and/or secondary hiatal hernias were diagnosed (9% after primary repair, 12.7% after cone-shaped patch; p = 0.53). Diaphragmatic complications were significantly associated with initial defect size (r = 0.26). In multivariate analysis left-sided CDH, an abdominal wall patch and age below 4 years were identified as independent risk factors. Accordingly, relative risks (RRs) were significantly increased [left-sided CDH: 8.5 (p = 0.03); abdominal wall patch: 3.2 (p < 0.001); age ≤4 years: 6.5 (p < 0.002)]. 97% of patients with diaphragmatic complications showed no or nonspecific symptoms and 45% occurred beyond 1 year of age.Conclusions: The long-term complication rate after CDH repair highly depends on surgical technique: a comparatively low recurrence rate seems to be achievable in large defects by implantation of a broad cone-shaped, non-absorbable patch. Longitudinal follow-up with regular radiologic imaging until adolescence is essential to reliably detecting recurrence to prevent acute incarceration and chronic gastrointestinal morbidity with their impact on prognosis. Based on our findings and literature review, a risk-stratified approach to diaphragmatic complications is proposed.

scholarly journals Large Abdominal Defect Closure: Case Series

2016 ◽  
Vol 3 (1) ◽  
pp. 20-26
Author(s):  
Nurliati Sari Handini ◽  
Melina Tiza ◽  
Gentur Sudjatmiko
Keyword(s):  
Abdominal Wall ◽  
Case Series ◽  
Perforator Flap ◽  
Defect Closure ◽  
Tumor Removal ◽  
Large Defect ◽  
Contaminated Wound

Background: We will report some experiences in managing challenging malignant cases on the abdominal wall, including a case of large, irradiated defect. All of those cases were consulted intraoperative immediately following tumor removal. The keystone random perforator flap was chosen among the option of solutions in large abdominal defect closure. This region has natural elasticity, which combines well with the multi-axial tissue recruitment of the flap Methods: Three cases of complicated abdominal defect were reconstructed using the keystone flaps supplied by non-identified (random) perforators. Results: All flaps survived without problem of vascularization, despite of its large defect, sequence of radiotherapy following reconstruction, infection, and with its margin unable to be freed from tumor. One out of three cases suffered from contaminated wound from stomal leakage, leading to dehiscence. Conclusion: The keystone flap is a useful and reliable random perforator-based flap, even in complex and challenging malignant cases of abdominal wall.

Sign in / Sign up

Export Citation Format

Share Document