title: [Tissue expansion in management of giant omphalocele parietal sequelae].
abstract: OBJECTIVE
  According to major difficulty for the giant omphalocele management in the visceral reintegration and the parietal closure, many teams use currently conservative treatment by topical application. These techniques are suppliers of a covered eventration and a scar sequela requiring a complementary treatment. We report the place of the tissue expansion as complementary treatment.
  
  
  METHODS
  Two patients with a giant omphalocele benefited from a protocol of cutaneous expansion for the correction of their abdominal scar±of their residual eventration.
  
  
  RESULTS
  An eventration closure was possible thanks to this protocol. The skin expansion allowed the complete excision of the abdominal scar and the defect cover. An additional skin graft was necessary in the first case.
  
  
  CONCLUSIONS
  The cutaneous expansion in the parietal sequela management of the giant omphaloceles seems to be an interesting alternative. This technique should be realized remotely and except any septic context.
authors: Service de chirurgie pédiatrique viscérale, plastique et brûlés, hôpital Gatien-de-Clocheville, CHRU de Tours, 49, boulevard Beranger, 37044 Tours, France. Electronic address: aurelien.binet@univ-tours.fr.
authors: A
authors: A
authors: Binet
authors: Service de chirurgie infantile viscérale, néonatale, digestive et thoracique, CHRU de Nantes, 44000 Nantes, France.
authors: E
authors: E
authors: Supply
authors: Service de chirurgie infantile viscérale, néonatale, digestive et thoracique, CHRU de Nantes, 44000 Nantes, France.
authors: S
authors: S
authors: De Napoli Cocci
authors: Établissement de santé pour enfants et adolescents de la région nantaise, 44200 Nantes, France.
authors: M
authors: M
authors: De Cornulier
authors: Service de chirurgie pédiatrique viscérale, plastique et brûlés, hôpital Gatien-de-Clocheville, CHRU de Tours, 49, boulevard Beranger, 37044 Tours, France.
authors: H
authors: H
authors: Lardy
authors: Service de chirurgie pédiatrique viscérale, plastique et brûlés, hôpital Gatien-de-Clocheville, CHRU de Tours, 49, boulevard Beranger, 37044 Tours, France.
authors: A
authors: A
authors: Le Touze
mesh_terms: D058107:Abdominal Wound Closure Techniques; D000293:Adolescent; D002675:Child, Preschool; D002921:Cicatrix / Q000601:surgery*; D012809:Colon, Sigmoid / Q000601:surgery; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007235:Infant, Premature, Diseases / Q000601:surgery*; D007415:Intestinal Obstruction / Q000601:surgery; D007422:Intestines / Q000601:surgery*; D008297:Male; D010994:Pleura / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery*; D012086:Reoperation; D012810:Sigmoid Diseases / Q000601:surgery; D015626:Tissue Expansion / Q000379:methods*; D014472:Umbilicus / Q000601:surgery
keywords: Cicatrisation; Cicatrization; Expansion tissulaire; Giant omphalocele; Omphalocèles géantes; Tissue expansion