Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele
In patients with omphalocele, several different techniques are performed for repair of the abdominal wall defect. We present the case of a staged abdominal closure of a giant incisional hernia after repair of a ruptured omphalocele. At birth, skin flap coverage associated with silo formation occurre...
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doaj-28d82989f2e44e66a64558656321af642020-11-25T00:15:34ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662016-07-0110C101310.1016/j.epsc.2016.04.022Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphaloceleYukihiro Tatekawa0Akito Komuro1Ai Okamura2Department of Pediatric Surgery, Saku Central Hospital Advanced Care Center, JapanDepartment of Dermatology, Kanazawa University Hospital, JapanDepartment of Dermatology, Kanazawa University Hospital, JapanIn patients with omphalocele, several different techniques are performed for repair of the abdominal wall defect. We present the case of a staged abdominal closure of a giant incisional hernia after repair of a ruptured omphalocele. At birth, skin flap coverage associated with silo formation occurred, but the abdominal wall defect remained, resulting in a giant abdominal hernia. To expand the layers of the abdominal wall, tissue expanders were placed between the bilateral internal oblique and transverses abdominis muscles. Postoperatively, a modified components separation technique was performed. The abdominal wall was closed in the midline. Upon closure of the skin in the midline, bilateral relaxing incisions were performed, covering the remaining defect with artificial dermis. At the age of one year and 7 months, the patient had no recurrent incisional hernia nor any wound complications.http://www.sciencedirect.com/science/article/pii/S221357661630063XOmphaloceleAbdominal incisional herniaTissue expandersModified components separation technique |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yukihiro Tatekawa Akito Komuro Ai Okamura |
spellingShingle |
Yukihiro Tatekawa Akito Komuro Ai Okamura Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele Journal of Pediatric Surgery Case Reports Omphalocele Abdominal incisional hernia Tissue expanders Modified components separation technique |
author_facet |
Yukihiro Tatekawa Akito Komuro Ai Okamura |
author_sort |
Yukihiro Tatekawa |
title |
Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele |
title_short |
Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele |
title_full |
Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele |
title_fullStr |
Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele |
title_full_unstemmed |
Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele |
title_sort |
staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele |
publisher |
Elsevier |
series |
Journal of Pediatric Surgery Case Reports |
issn |
2213-5766 |
publishDate |
2016-07-01 |
description |
In patients with omphalocele, several different techniques are performed for repair of the abdominal wall defect. We present the case of a staged abdominal closure of a giant incisional hernia after repair of a ruptured omphalocele. At birth, skin flap coverage associated with silo formation occurred, but the abdominal wall defect remained, resulting in a giant abdominal hernia. To expand the layers of the abdominal wall, tissue expanders were placed between the bilateral internal oblique and transverses abdominis muscles. Postoperatively, a modified components separation technique was performed. The abdominal wall was closed in the midline. Upon closure of the skin in the midline, bilateral relaxing incisions were performed, covering the remaining defect with artificial dermis. At the age of one year and 7 months, the patient had no recurrent incisional hernia nor any wound complications. |
topic |
Omphalocele Abdominal incisional hernia Tissue expanders Modified components separation technique |
url |
http://www.sciencedirect.com/science/article/pii/S221357661630063X |
work_keys_str_mv |
AT yukihirotatekawa stagedabdominalclosurewithintramusculartissueexpandersandmodifiedcomponentsseparationtechniqueofagiantincisionalherniaafterrepairofarupturedomphalocele AT akitokomuro stagedabdominalclosurewithintramusculartissueexpandersandmodifiedcomponentsseparationtechniqueofagiantincisionalherniaafterrepairofarupturedomphalocele AT aiokamura stagedabdominalclosurewithintramusculartissueexpandersandmodifiedcomponentsseparationtechniqueofagiantincisionalherniaafterrepairofarupturedomphalocele |
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1725386172735160320 |