Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele
Background: Several techniques have been described to repair giant omphaloceles. Component Separation Technique (CST) is a surgical technique first reported in adults to repair large abdominal wall defects. The purpose of this study is to describe our experience using this technique in repairing lar...
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| Format: | Article |
| Language: | English |
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Elsevier
2024-04-01
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| Series: | Journal of Pediatric Surgery Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2949711623001120 |
| _version_ | 1827274225857069056 |
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| author | C. Lagos Jefferson C. Torres F. Anich M. Obaíd A. Paulos V. Broussain S. Montedónico P. Quijada |
| author_facet | C. Lagos Jefferson C. Torres F. Anich M. Obaíd A. Paulos V. Broussain S. Montedónico P. Quijada |
| author_sort | C. Lagos Jefferson |
| collection | DOAJ |
| description | Background: Several techniques have been described to repair giant omphaloceles. Component Separation Technique (CST) is a surgical technique first reported in adults to repair large abdominal wall defects. The purpose of this study is to describe our experience using this technique in repairing large ventral hernias secondary to giant omphaloceles in children. Methods: Nine patients with giant omphalocele were treated. The abdominal wall was reconstructed using CST, based on the enlargement of the abdominal wall by separate mobilization of the muscular layers. Patients were monitored for complications during admission, postoperative complications, and all patients were seen for follow-up. Results: Component separation technique was performed at a median age of 7.2 years. The median diameter of the hernia was 109.8 cm2. There was no mortality. Minor complications were seen (infection, skin necrosis, and hematoma). There were no recurrences after an average follow-up of 3.3 years (2 - 4 years). Conclusions: Component separation technique is a valuable method for repairing large ventral hernias as a consequence of giant omphaloceles in children. Our series supports the use of CST in children, in a wide age range, from newborns for primary closure to adolescence in cases of giant ventral hernias secondary to omphaloceles with multiple previous surgeries. Level of Evidence: II |
| first_indexed | 2024-03-07T23:38:21Z |
| format | Article |
| id | doaj.art-770e8f5617ab4fbb8fb58b02b9cd99d9 |
| institution | Directory Open Access Journal |
| issn | 2949-7116 |
| language | English |
| last_indexed | 2025-03-22T06:21:38Z |
| publishDate | 2024-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Open |
| spelling | doaj.art-770e8f5617ab4fbb8fb58b02b9cd99d92024-04-26T05:00:42ZengElsevierJournal of Pediatric Surgery Open2949-71162024-04-016100115Reconstruction of the abdominal wall with component separation technique in patients with giant omphaloceleC. Lagos Jefferson0C. Torres1F. Anich2M. Obaíd3A. Paulos4V. Broussain5S. Montedónico6P. Quijada7Department of Pediatric Plastic and Reconstructive Surgery Roberto del Río Hospital, Santiago, Chile; Corresponding author at: Independence Commune, Profesor Zañartu #1085, 8380418 Santiago, Chile.Department of Pediatric Plastic and Reconstructive Surgery Van Buren Hospital, Valparaiso, ChileGeneral Physician, University of Chile, Santiago, ChileDepartment of Plastic and Reconstructive Surgery, Salvador Hospital, University of Chile, Santiago, ChileDepartment of Pediatric Plastic and Reconstructive Surgery Roberto del Río Hospital, Santiago, ChileDepartment of Pediatric Plastic and Reconstructive Surgery Roberto del Río Hospital, Santiago, ChileDepartment of Pediatric Plastic and Reconstructive Surgery Van Buren Hospital, Valparaiso, Chile; Chair of Pediatric Surgery and Biomedical Research Center, University of Valparaíso, Valparaiso, ChileDepartment of Pediatric Plastic and Reconstructive Surgery Van Buren Hospital, Valparaiso, ChileBackground: Several techniques have been described to repair giant omphaloceles. Component Separation Technique (CST) is a surgical technique first reported in adults to repair large abdominal wall defects. The purpose of this study is to describe our experience using this technique in repairing large ventral hernias secondary to giant omphaloceles in children. Methods: Nine patients with giant omphalocele were treated. The abdominal wall was reconstructed using CST, based on the enlargement of the abdominal wall by separate mobilization of the muscular layers. Patients were monitored for complications during admission, postoperative complications, and all patients were seen for follow-up. Results: Component separation technique was performed at a median age of 7.2 years. The median diameter of the hernia was 109.8 cm2. There was no mortality. Minor complications were seen (infection, skin necrosis, and hematoma). There were no recurrences after an average follow-up of 3.3 years (2 - 4 years). Conclusions: Component separation technique is a valuable method for repairing large ventral hernias as a consequence of giant omphaloceles in children. Our series supports the use of CST in children, in a wide age range, from newborns for primary closure to adolescence in cases of giant ventral hernias secondary to omphaloceles with multiple previous surgeries. Level of Evidence: IIhttp://www.sciencedirect.com/science/article/pii/S2949711623001120Giant omphaloceleSurgical treatmentComponent separationVentral hernia |
| spellingShingle | C. Lagos Jefferson C. Torres F. Anich M. Obaíd A. Paulos V. Broussain S. Montedónico P. Quijada Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele Journal of Pediatric Surgery Open Giant omphalocele Surgical treatment Component separation Ventral hernia |
| title | Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele |
| title_full | Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele |
| title_fullStr | Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele |
| title_full_unstemmed | Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele |
| title_short | Reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele |
| title_sort | reconstruction of the abdominal wall with component separation technique in patients with giant omphalocele |
| topic | Giant omphalocele Surgical treatment Component separation Ventral hernia |
| url | http://www.sciencedirect.com/science/article/pii/S2949711623001120 |
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