Laparoscopic assisted modification of the firlit abdominal wall plication.
OBJECTIVE
We describe a modification of the Firlit abdominal wall plication procedure for abdominal wall reconstruction in the prune-belly syndrome.


METHODS
Five boys with the prune-belly syndrome and 1 with congenital atrophy or hypotrophy of the internal and external oblique muscles underwent laparoscopic assisted abdominal wall reconstruction.


RESULTS
All 6 patients had excellent cosmetic results, with no weakness or sagging of the abdominal wall.


CONCLUSIONS
Laparoscopy appears to add to the Firlit procedure an increased measure of safety and a possible decrease in morbidity associated with opening the abdomen, and improved precision that enhances the results achieved with the original procedure and other abdominal wall repairs.
Franco
Israel
I
Department of Urology, New York Medical College, Hawthorne, New York, USA. Isfranco@optonline.net
D034861:Abdominal Wall / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011535:Prune Belly Syndrome / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods