Turkish Journal of Pediatric Surgery

Billur Sezgin1, Serhan Tuncer2, Onur Özen3, Serhat Şİbar2

1Koç Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, İstanbul
2Gazi Üniversitesi Tıp Fakültesi, Plastik, Rekonstrüktif ve Estetik Cerrahi Anabilim Dalı, Ankara
3Gazi Üniversitesi Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, Ankara

Keywords: Anterior abdominal wall defects, combined polypropylene and oxidized regenerated cellulose mesh, omphalocele, rotation flaps

Abstract

Treatment alternatives in pediatric patients with omphalocele are largely based on the extent of the defect, gestational age and accompanying disorders. Primary closure can be the treatment of choice for small defects yet it is not preferred in larger defects as this procedure may result in an uncontrollable increase in intraabdominal pressure. A case of omphalocele that was previously operated was consulted to the plastic surgery department because of anterior abdominal wall defect developed following intraabdominal reduction by the pediatric surgery department. In this case report repair of the defect with polypropylene - oxidized regenerated cellulose mesh in combination with doubleopposing rotational flaps is presented.