Hypoplasia of abdominal wall muscles following massive fetal persistent chylous ascites without anemia

ABSTRACT Abdominal wall hypoplasia is a widely known clinical finding of genetic disorders such as the prune belly syndrome. On the other hand, there are few cases of abdominal wall muscle hypoplasia associated with fetal ascites due to fetal hydrops caused by fetal anemia have been reported. We report a case of fetal chylous ascites without anemia, resulting in abdominal wall muscle hypoplasia and flabby skin. At 17 weeks of gestation, fetal ascites was first detected and deteriorated without anemia. At 28, 33 and 36 weeks of gestation, paracentesis was performed three times because of cardiovascular impairment, confirming chylous ascites. After birth, the baby exhibited a flabby skin and lateral abdominal wall hypoplasia, resulting in difficulties in maintaining a sitting posture at 10 months of age. The genetic test using the TruSight One Sequencing Panels found no genetic variants. This case suggests that abdominal wall hypoplasia could be associated with fetal ascites without anemia.

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O50 ALTERATIONS IN THE ABDOMINAL WALL MUSCULATURE AFTER ENDOSCOPIC ANTERIOR AND OPEN POSTERIOR COMPONENT SEPARATION

British Journal of Surgery ◽

10.1093/bjs/znab396.049 ◽

2021 ◽

Vol 108 (Supplement_8) ◽

Author(s):

Erling Oma ◽

Jan Kim Christensen ◽

Jorge Daes ◽

Lars Nannestad Jorgensen

Keyword(s):

Abdominal Wall ◽

Case Series ◽

Muscle Thickness ◽

Component Separation ◽

Fascial Closure ◽

Lateral Abdominal Wall ◽

Transverse Abdominis ◽

Abdominal Wall Muscle ◽

Anterior Component Separation

Abstract Aim Effects of component separation (CS) on abdominal wall musculature have only been investigated in smaller case series. The study aimed to compare abdominal wall alterations following endoscopic anterior component separation (EACS) or transverse abdominis release (TAR). Material and Methods Computed tomography scans were evaluated in patients who underwent open ventral hernia repair with TAR or EACS. Lateral abdominal wall muscle thickness and displacement were compared with preoperative images after bilateral CS and the undivided side postoperatively after unilateral CS. Results In total, 105 patients were included. The mean defect width was 12.2 cm. Fifty-five (52%) and 15 (14%) underwent bilateral and unilateral EACS, respectively. Five (5%) and 14 (13%) underwent bilateral and unilateral TAR, respectively. Sixteen (15%) underwent unilateral EACS and contralateral TAR. Complete fascial closure was achieved in 103 (98%) patients. The external oblique and transverse abdominis muscles were significantly laterally displaced with a mean of 2.74 cm (95% CI 2.29-3.19 cm) and 0.82 cm (0.07-1.57 cm) after EACS and TAR, respectively. The combined thickness of the lateral muscles was significantly decreased after EACS (mean decrease 10.5% [5.8-15.6%]) and insignificantly decreased after TAR (mean decrease 2.6% [-4.8-9.5%]), mean reduction difference EACS versus TAR 0.22 cm (-0.01-0.46 cm). One (1%) patient developed an iatrogenic linea semilunaris hernia after EACS. The recurrence rate was 19% after mean 1.7 years follow-up. Conclusions The divided muscle was significantly more laterally displaced after EACS compared with TAR. The thickness of the lateral muscles was slightly decreased after EACS and unchanged after TAR.

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Improving laparoscopy in embalmed cadavers: a new method with a lateral abdominal wall muscle section

Surgical Endoscopy ◽

10.1007/s00464-003-9229-z ◽

2004 ◽

Vol 18 (7) ◽

Cited By ~ 4

Author(s):

J. Nebot-Cegarra ◽

E. Macarulla-Sanz

Keyword(s):

Abdominal Wall ◽

New Method ◽

Lateral Abdominal Wall ◽

Abdominal Wall Muscle ◽

Muscle Section

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Side Strain and Impact Injuries at the Iliac Crest Attachment of Lateral Abdominal Wall Musculature in Cricketers: An Uncommon Injury Pattern

Indian Journal of Radiology and Imaging ◽

10.1055/s-0041-1734345 ◽

2021 ◽

Author(s):

Chinmay P. Mehta ◽

Aditya Daftary ◽

Malini Lawande

Keyword(s):

Abdominal Wall ◽

Iliac Crest ◽

Injury Pattern ◽

Transversus Abdominis ◽

Muscle Injuries ◽

Lateral Abdominal Wall ◽

Abdominal Wall Muscle ◽

External Oblique ◽

Degrees Of Severity ◽

Impact Injuries

AbstractSide strains refer to injuries of the internal/external oblique or the transversus abdominis, commonly at their attachment to the lower four ribs and rarely at their pelvic attachments. Injuries at the rib attachments are well-described while literature on iliac crest attachment injuries is sparse. We report four cricketers who had side strain and direct impact injuries with varying degrees of severity at the iliac crest attachment. The purpose of this article is to describe the anatomy, possible mechanism of injury, and imaging findings in the lateral abdominal wall muscle injuries at the iliac crest, which have not been described previously.

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Totally endoscopic sublay (TES) repair for lateral abdominal wall hernias: technique and first results

Hernia ◽

10.1007/s10029-021-02374-z ◽

2021 ◽

Author(s):

B. Li ◽

C. Qin ◽

J. Yu ◽

D. Gong ◽

X. Nie ◽

...

Keyword(s):

Abdominal Wall ◽

Lateral Abdominal Wall ◽

First Results

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Abdominal hollowing and lateral abdominal wall muscles' activity in both healthy men & women: An ultrasonic assessment in supine and standing positions

Journal of Bodywork and Movement Therapies ◽

10.1016/j.jbmt.2009.10.004 ◽

2011 ◽

Vol 15 (1) ◽

pp. 108-113 ◽

Cited By ~ 20

Author(s):

Farideh Dehghan Manshadi ◽

Mohamad Parnianpour ◽

Javad Sarrafzadeh ◽

Mahmood reza Azghani ◽

Anooshirvan Kazemnejad

Keyword(s):

Abdominal Wall ◽

Healthy Men ◽

Lateral Abdominal Wall ◽

Ultrasonic Assessment

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Abdominal Expansion versus Abdominal Drawing-In Strategy on Thickness and Electromyography of Lumbar Stabilizers in People with Nonspecific Low Back Pain: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18094487 ◽

2021 ◽

Vol 18 (9) ◽

pp. 4487

Author(s):

Yi-Liang Kuo ◽

Chieh-Yu Kao ◽

Yi-Ju Tsai

Keyword(s):

Low Back Pain ◽

Back Pain ◽

Abdominal Wall ◽

Emg Activity ◽

Abdominal Muscles ◽

Low Back ◽

Clinical Practices ◽

Lumbar Multifidus ◽

Lateral Abdominal Wall ◽

Lumbar Stabilization

The abdominal expansion (AE) strategy, involving eccentric contraction of the abdominal muscles, has been increasingly used in clinical practices; however, its effects have not been rigorously investigated. This study aimed to investigate the immediate effects of the AE versus abdominal drawing-in (AD) strategy on lumbar stabilization muscles in people with nonspecific low back pain (LBP). Thirty adults with nonspecific LBP performed the AE, AD, and natural breathing (NB) strategies in three different body positions. Ultrasonography and surface electromyography (EMG) were, respectively, used to measure the thickness and activity of the lumbar multifidus and lateral abdominal wall muscles. The AE and AD strategies showed similar effects, producing higher EMG activity in the lumbar multifidus and lateral abdominal wall muscles when compared with the NB strategy. All muscles showed higher EMG activity in the quiet and single leg standing positions than in the lying position. Although the AE and AD strategies had similar effects on the thickness change of the lumbar multifidus muscle, the results of thickness changes of the lateral abdominal muscles were relatively inconsistent. The AE strategy may be used as an alternative method to facilitate co-contraction of lumbar stabilization muscles and improve spinal stability in people with nonspecific LBP.

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Abdominal Wall Expanding System. Intraoperative Abdominal Wall Expansion as a Technique to Repair Giant Incisional Hernia and Laparostoma. New and Long-Term Results From a Three-Center Feasibility Study

Surgical Innovation ◽

10.1177/15533506211041477 ◽

2021 ◽

pp. 155335062110414

Author(s):

Dietmar Eucker ◽

Nadine Rüedi ◽

Clinton Luedtke ◽

Oliver Stern ◽

Henning Niebuhr ◽

...

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Reconstruction ◽

Long Term Results ◽

Anatomical Reconstruction ◽

Time Saving ◽

Lateral Abdominal Wall ◽

Hernia Size ◽

Midline Closure

Background The abdominal wall expanding system (AWEX) was first applied in 2012 and published in 2017. This novel technique was developed to reconstruct complex incisional hernias and residual skin-grafted laparostoma after treatment of an open abdomen, when primary midline closure was impossible. The main aim was the anatomical reconstruction of the abdominal wall and the avoidance of dissecting techniques (component separation). Methods Between 2012 and 2019, 33 patients underwent AWEX hernia repair in three certified hernia centers. The retracted abdominal wall was stretched with the AWEX system intraoperatively for approximately 30 min. Hernia size was measured preoperatively, on CT, and intraoperatively. The gain in length on the lateral abdominal wall (decrease in width of the defect) after stretching and any residual midline gap were determined in the OR. Results 33 patients underwent AWEX procedures. Six cases were evaluated separately because of additional procedures (TAR, four cases) and preoperative application of botulinum toxin (two cases). The median (95% confidence interval) measured width of hernia defects was 13 (12–16) cm, the median gain in length on the lateral abdominal wall was 12 (10–15) cm. After median follow-up of 29 (12–54) months, one recurrence from the broken mesh was observed. No method-related complications occurred. Conclusion Based on the 2017 and current results, the AWEX system represents an alternative or supplemental procedure to current techniques for complex abdominal wall reconstruction. The system proved again to be time-saving, safe, effective, and easy to learn. Further studies with enhanced technology are in progress.

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Ureteral reconstruction with abdominal wall muscle flap: experimental study in rabbits

Revista do Colégio Brasileiro de Cirurgiões ◽

10.1590/0100-69912014006013 ◽

2014 ◽

Vol 41 (6) ◽

pp. 455-456

Author(s):

Nelson Alfred Smith ◽

Paulo Cesar Silva ◽

Manoel Luiz Ferreira ◽

Alberto Schanaider

Keyword(s):

Experimental Study ◽

Surgical Technique ◽

Abdominal Wall ◽

Muscle Flap ◽

Experimental Development ◽

Preliminary Results ◽

Ureteral Reconstruction ◽

Abdominal Wall Muscle ◽

Tubular Shape

The authors detail the experimental development of a technique for the reconstruction of the ureter using a tubular shape, muscle flap of the abdominal wall. the preliminary results indicate the feasibility of this surgical technique.

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