ISSN:
1437-9813
Keywords:
Congenital abdominal wall defect
;
Patchplasty
;
Skinplasty
;
Expanded
;
Polytetrafluoroethylene (PTFE)
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract A combined technique of patchplasty with expanded polytetrafluoroethylene (PTFE) and a special skinplasty is described for congenital abdominal wall defects where the abdominal cavity needs enlargement but skin closure is primarily possible. The patchplasty consists of suturing two half-moon-shaped, expanded PTFE leaves to the sides of the muscular abdominal wall, then approximating them under observation of intra-abdominal pressure by monitoring five parameters (urinary bladder pressure, central venous pressure, transcutaneous oxygen saturation, ventilation pressure, and mean arterial pressure). The skin is incised in a horizontal manner according to the tension lines. However, after closure, regional necrosis of the skin in the mid-portion above the incision is often observed due to lack of sufficient subcutaneous tissue at this site. Therefore, a skinplasty is done as a preventive measure, resecting this potential site of necrosis. The final appearance of the skin is an inverted T-shape. The surgical and monitoring techniques are described and illustrated.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF00179623
