Extended Component Separation for Repair of High Ventral Hernia in Pediatric Omphalocele.
Abdominal wall reconstruction ideally involves maintenance of domain by restoration of competent fascia and innervated muscle. Component separation allows closure of ventral hernias, but the technique is limited for high abdominal defects in the epigastric region. We describe an extended component separation that facilitated mobilization of the rectus abdominis muscle along its costal insertion to close an upper midline defect in a child with giant omphalocele, who had already undergone previous traditional component separation.
Department of Surgery, Seattle Children's Hospital, Seattle, Wash.; Division of Plastic Surgery, University of Washington, Seattle, Wash.; and Department of Surgery, University of Washington, Seattle, Wash.
Erin A
EA
Miller
Department of Surgery, Seattle Children's Hospital, Seattle, Wash.; Division of Plastic Surgery, University of Washington, Seattle, Wash.; and Department of Surgery, University of Washington, Seattle, Wash.
Adam
A
Goldin
Department of Surgery, Seattle Children's Hospital, Seattle, Wash.; Division of Plastic Surgery, University of Washington, Seattle, Wash.; and Department of Surgery, University of Washington, Seattle, Wash.
Geoffrey N
GN
Tse
Department of Surgery, Seattle Children's Hospital, Seattle, Wash.; Division of Plastic Surgery, University of Washington, Seattle, Wash.; and Department of Surgery, University of Washington, Seattle, Wash.
Raymond
R
Tse