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Complex Congenital Abdominal Wall Hypoplasia Repaired with PTFE Mesh using An Abdominoplasty Approach
Brown, Matthew & Totonchi Ali
University Hospitals Case Medical Center
2012-01-19
Presenter: Matthew Brown
Affidavit:
This Material has not been presented before.
Director Name: Arun Gosain
Author Category: Other Specialty Resident
Presentation Category: Clinical
Abstract Category: General Reconstruction
How does this presentation meet the established conference educational objectives?
It provides information on an unusual congenital wall anomaly and a novel approach for repair
How will your presentation be used by practicing physicians in the audience?
Provide them with a unique way to possibly repair the abdominal wall in complicated or congenital defects.
Abstract
We present a case of a complex abdominal wall reconstruction in an 18 month old. The patient had an unusual abdominal wall hypoplasia resulting in significant laxity and left lateral abodominal bulging. Intra-operative findings revealed a unilateral absence of the transversus abdominis, lack of the inferior medial portion of the external oblique and lack of the superior medial portion of internal oblique. Preopeartive Imaging and intra-operative pictures further illustrate the unusal anatomy encountered. We describe a unique method for repair using PTFE mesh layed in between the hypoplastic muculature through a single low transverse incision. Additionally we review previously described congenital abdominal wall etiologies and methods for repair of abdominal wall hypoplasia.
