Laparostomy closure in stage 4S neuroblastoma.
Laparostomy in children is a rare procedure, and there is little in the literature as to the best method for closure in children with an open abdomen. We describe 2 cases with stage 4S neuroblastoma that required emergency decompressive laparostomy. Both cases highlight advantages and disadvantages with known techniques for achieving skin and fascia closure. We believe this to be the first report of a combination of extracellular matrix mesh and vacuum therapy for successful fascial and skin closure in stage 4S neuroblastoma.
Department of Paediatric Surgery, Royal Manchester Children's Hospital, M13 9WL Manchester, UK. dkeene@doctors.org.uk
David James
DJ
Keene
Joanne
J
Minford
Ross J
RJ
Craigie
Gillian
G
Humphrey
James
J
Bruce
D000005:Abdomen / Q000601:surgery; D000008:Abdominal Neoplasms / Q000601:surgery*; D034861:Abdominal Wall / Q000601:surgery*; D019299:Decompression, Surgical / Q000379:methods; D062109:Dermatologic Surgical Procedures; D000071938:Fasciotomy; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007813:Laparotomy / Q000379:methods*; D008297:Male; D054843:Negative-Pressure Wound Therapy / Q000379:methods; D009447:Neuroblastoma / Q000601:surgery*; D010030:Ostomy / Q000379:methods*; D013526:Surgical Mesh; D013536:Suture Techniques