title: Bipedicled skin flaps for reconstruction of the abdominal wall in newborn omphalocele.
abstract: Despite technical refinements in surgery and advances in postoperative intensive care, abdominal wall closure in giant omphalocele remains a difficult endeavor. In this respect, bipedicled skin flaps obtained with longitudinal incisions along the margins of the rectus abdominis muscle may represent a good alternative solution to achieve a complete, tension-free midline closure. Incisional areas can subsequently be easily covered with split-thickness thigh grafts. Two neonatal cases were treated with this technique with good results. This has enabled avoidance of palliative coverage as well as complex musculo-cutaneous reconstructions at a later age.
authors.affiliation: Newborn Surgery Unit, Department of Neonatology, Bambino Gesù Children's Hospital, Rome, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Zaccara
authors.forename: M
authors.initials: M
authors.lastname: Zama
authors.forename: A
authors.initials: A
authors.lastname: Trucchi
authors.forename: A
authors.initials: A
authors.lastname: Nahom
authors.forename: F
authors.initials: F
authors.lastname: De Stefano
authors.forename: P
authors.initials: P
authors.lastname: Bagolan
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D011138:Polytetrafluoroethylene; D017568:Rectus Abdominis / Q000601:surgery; D013524:Surgical Flaps; D013848:Thigh
chemical_list: D011138:Polytetrafluoroethylene