Laparoscopic-assisted abdominal wall reconstruction in prune-belly syndrome.
Prune-belly syndrome (PBS) refers to a congenital absence or weakness of the musculature of the abdominal wall, in conjunction with anomalies of the gastrointestinal or genitourinary systems. As such, many patients undergo numerous intra-abdominal procedures and develop significant peritoneal adhesions, making reoperation a challenging endeavor. Numerous approaches to abdominal wall reconstruction in patients with PBS have been reported. The authors describe a novel approach that uses laparoscopic visualization of intra-abdominal contents combined with abdominal wall plication. This technique has been safely performed in 6 patients with PBS. It is believed to improve safety and allows for bilateral, vertical, 2-layer, fascial plication to strengthen the abdominal wall.
Levine
Elie
E
Division of Plastic and Reconstructive Surgery, Mount Sinai Medical Center, New York, NY 10128, USA.
Taub
Peter J
PJ
Franco
Israel
I
D034861:Abdominal Wall / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004954:Esthetics; D000071938:Fasciotomy; D005500:Follow-Up Studies; D020139:Gastroschisis / Q000601:surgery; D006801:Humans; D010535:Laparoscopy; D008297:Male; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D011535:Prune Belly Syndrome / Q000601:surgery*; D012086:Reoperation; D013536:Suture Techniques