Cloacal Exstrophy Repair with Primary Closure of Bladder Exstrophy: A Case Report and Review of Literature

Cloacal exstrophy is the most complex congenital, ventral, abdominal wall defect. Traditionally surgery consists of a staged approach to repair which takes place on many separate theatre visits. In this case a primary approach was undertaken resulting in a relatively short inpatient stay and a reduced risk from multiple surgical procedures under general anaesthesia.

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Pentalogy of Cantrell with encephalocele – A case report with review of literature

Indian Journal of Obstetrics and Gynecology Research ◽

10.18231/j.ijogr.2021.058 ◽

2021 ◽

Vol 8 (2) ◽

pp. 275-278

Author(s):

Suriya Desikan ◽

Sendhil Coumary A ◽

Syed Habeebullah

Keyword(s):

Case Report ◽

Rare Case ◽

Abdominal Wall Defect ◽

Single Gene ◽

Structural Disorder ◽

Congenital Defects ◽

Review Of Literature ◽

Pentalogy Of Cantrell ◽

Wall Defect ◽

Embryonic Life

Pentalogy of Cantrell is a rare structural disorder. It is a combination of congenital defects in the midline comprising of supraumbilical abdominal wall defect, defect in the lower sternum, deficient anterior diaphragm, defect in diaphragmatic pericardium and intracardiac defects. It is proposed to result from an insult occurring as early as 14 to 17 day of embryonic life. It involves the ventral midline due to disruption of midline mesenchyme. Etio-pathogenesis is still largely unknown. The insult could be environmental or disruption of a single gene, either autosomal or X linked. Very rarely Cantrell’s syndrome is associated with neural tube disorders. Here, we report one such rare case of Pentalogy of Cantrell.

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Isolated abdominal wall defect with complete liver herniation without a covering or remnant membrane: an ominous sign: case report and review of literature

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.3109/14767058.2013.765852 ◽

2013 ◽

Vol 26 (9) ◽

pp. 946-948

Author(s):

C. C. M. M. Lap ◽

W. L. M. Kramer ◽

P. G. J. Nikkels ◽

L. R. Pistorius ◽

J. M. G. van Vugt ◽

...

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Abdominal Wall Defect ◽

Review Of Literature ◽

Wall Defect ◽

Liver Herniation

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Sliding free transverse rectus abdominis myocutaneous flap for closure of a massive abdominal wall defect: A case report

Microsurgery ◽

10.1002/micr.30309 ◽

2018 ◽

Vol 39 (2) ◽

pp. 174-177 ◽

Cited By ~ 1

Author(s):

Annika Senghaas ◽

Thomas Kremer ◽

Volker J. Schmidt ◽

Leila Harhaus ◽

Christoph Hirche ◽

...

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Myocutaneous Flap ◽

Abdominal Wall Defect ◽

Rectus Abdominis ◽

Transverse Rectus Abdominis Myocutaneous ◽

Wall Defect ◽

Rectus Abdominis Myocutaneous Flap

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Reconstruction of a large abdominal wall defect without using mesh: A case report

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2020.09.125 ◽

2020 ◽

Vol 75 ◽

pp. 517-520

Author(s):

Apinan Rongviriyapanich

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Abdominal Wall Defect ◽

Wall Defect

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Management of Laparotomy Wound Dehiscence

The American Surgeon ◽

10.1177/000313480707301205 ◽

2007 ◽

Vol 73 (12) ◽

pp. 1224-1227 ◽

Cited By ~ 8

Author(s):

Daniel E. Abbott ◽

Gregory A. Dumanian ◽

Amy L. Halverson

Keyword(s):

Primary Closure ◽

Abdominal Wall Defect ◽

Wound Dehiscence ◽

High Rate ◽

Fascial Closure ◽

Wall Defect ◽

Laparotomy Wound ◽

Abdominal Wound Dehiscence ◽

Successful Repair ◽

Optimal Treatment Strategy

Many studies identify risk factors for dehiscence, but a paucity of data exist suggesting an optimal treatment strategy. This study examines repair of abdominal wound dehiscence, comparing closure and interposition of mesh. We conducted a retrospective review of 37 individuals who suffered a wound dehiscence after laparotomy. Outcomes of repairs with either primary closure or polyglactin mesh interposition were examined. Twenty-seven individuals underwent repair with primary closure. Twelve of these individuals suffered repeat wound dehiscence; 10 were treated with repeat fascial closure, 2 with polyglactin mesh interposition. Seven individuals initially underwent successful repair with polyglactin mesh interposition; all subsequently had their hernias repaired. Three patients had minor fascial separation managed nonoperatively. Primary closure is associated with a relatively high rate of recurrent wound dehiscence. Closure with polyglactin mesh interposition has a higher initial success rate, but necessitates additional surgeries for repair of the abdominal wall defect.

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