Management of the Sequelae of Severe Congenital Abdominal Wall Defects

Arch Plast Surg. 2016 May;43(3):258-64. doi: 10.5999/aps.2016.43.3.258. Epub 2016 May 18.

Abstract

Background: The survival rate of newborns with severe congenital abdominal wall defects has increased. After successfully addressing life-threatening complications, it is necessary to focus on the cosmetic and functional outcomes of the abdominal wall.

Methods: We performed a chart review of five cases treated in our institution.

Results: Five patients, ranging from seven to 18 years of age, underwent the following surgical approaches: simple approximation of the rectus abdominis fascia, the rectus abdominis sheath turnover flap, the placement of submuscular tissue expanders, mesh repair, or a combination of these techniques depending on the characteristics of each individual case.

Conclusions: Patients with severe congenital abdominal wall defects require individualized surgical treatment to address both the aesthetic and functional issues related to the sequelae of their defects.

Keywords: Abdominal muscles; Abdominal wall; Gastroschisis; Hernia, ventral; Umbilical hernia.