Combination of tissue expansion and porcine mesh for secondary abdominal wall closure after pediatric liver transplantation |
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Authors: | Lafosse Aurore de Magnee Catherine Brunati Andrea Bayet Bénédicte Vanwijck Romain Manzanares Javier Reding Raymond |
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Institution: | Pediatric Surgery and Transplant Unit, Saint Luc University Hospital, Université Catholique de Louvain, Brussels, Belgium. aur_laf@hotmail.com |
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Abstract: | Lafosse A, de Magnee C, Brunati A, Bayet B, Vanwijck R, Manzanares J, Reding R. Combination of tissue expansion and porcine mesh for secondary abdominal wall closure after pediatric liver transplantation. Abstract: We report the case of a two and a half yr boy hospitalized in our Pediatric Transplantation Unit for portal vein thrombosis following liver transplantation. After performing a meso‐Rex shunt, abdominal wall closure was impossible without compressing the portal flow. A combination of two techniques was used to perform the reconstruction of the muscular fasciae and skin layers. The association of tissue expanders and porcine mesh (Surgisis®) allowed complete abdominal wall closure with good functional and esthetic results. Use of both techniques is a useful alternative for difficult abdominal closure after liver pediatric transplantation. |
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Keywords: | liver transplantation infant abdominal wall closure tissue expansion prosthesis |
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