Abdominoplasty of XXXX : application of reconstructive methods to recurrent and primary cases.

@entity1 @entity1625 @entity1494 @entity7891 @entity121
BACKGROUND: Surgical repair of @entity7891 is still challenging. At birth, @entity1 undergo bladder closure, colostomy, and osteotomy of the pubic bone (if necessary, when the interpubic range is wide and cannot be brought together with the hands). This @entity1625 is closed primarily by urologists or pediatric surgeons, if possible, but the @entity1 may experience a relapse of @entity1494 and an @entity1625 . Abdominal reconstruction was performed for a series of recurrent and primary (preventive) cases. METHODS: Abdominal wall reconstruction was performed using the rectus abdominis and external oblique @entity121 flaps, and reinforcement of the bilateral rectus abdominis muscles in 2 cases of @entity7891 @entity1 . One was a recurrent case treated at 7 months old, and the other was done primarily at 2 days after birth. RESULTS: The closure of the abdominal wall was successful and no relapse of @entity1494 or @entity1625 has occurred. These @entity1 are now undergoing rehabilitation. CONCLUSION: Cloacal exstrophy usually has many serious complications. The abdominal-wall defect is often large and accompanied by a wide detachment of the pubic bone. Even if the simple closure of abdominal wall is possible at birth, it is usually insufficient. Abdominal-wall repair must be done thoroughly, soon after birth, and plastic surgery techniques should be used.
