title: Combination of tissue expansion and porcine mesh for secondary abdominal wall closure after pediatric liver transplantation.
abstract: We report the case of a two and a half yr boy hospitalized in our Pediatric Transplantation Unit for portal vein thrombosis following liver transplantation. After performing a meso-Rex shunt, abdominal wall closure was impossible without compressing the portal flow. A combination of two techniques was used to perform the reconstruction of the muscular fasciae and skin layers. The association of tissue expanders and porcine mesh (Surgisis(®)) allowed complete abdominal wall closure with good functional and esthetic results. Use of both techniques is a useful alternative for difficult abdominal closure after liver pediatric transplantation.
authors.affiliation: Pediatric Surgery and Transplant Unit, Saint Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium. aur_laf@hotmail.com
authors.forename: Aurore
authors.initials: A
authors.lastname: Lafosse
authors.forename: Catherine
authors.initials: C
authors.lastname: de Magnee
authors.forename: Andrea
authors.initials: A
authors.lastname: Brunati
authors.forename: Bénédicte
authors.initials: B
authors.lastname: Bayet
authors.forename: Romain
authors.initials: R
authors.lastname: Vanwijck
authors.forename: Javier
authors.initials: J
authors.lastname: Manzanares
authors.forename: Raymond
authors.initials: R
authors.lastname: Reding
mesh_terms: D058107:Abdominal Wound Closure Techniques / Q000295:instrumentation; D002675:Child, Preschool; D006801:Humans; D016031:Liver Transplantation; D008297:Male; D011169:Portal Vein / Q000473:pathology / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D013526:Surgical Mesh; D015626:Tissue Expansion; D020246:Venous Thrombosis / Q000209:etiology / Q000601:surgery*