Reconstruction of an omphalocele defect in an infant with combined polypropylene and oxidized regenerated cellulose mesh and 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 double-opposing rotational flaps is presented. / Omfalosel olgularında tedavi seçenekleri defektin çapına, gestasyonel yaşa ve eşlik eden anomalilere bağlı olarak değişmektedir. Küçük defektlerde primer kapama söz konusu olabilirken, orta ve geniş çaplı defektlerde karın içi basıncının kontrol edilememesi nedeniyle primer kapama-dan uzaklaşılmaktadır. Omfalosel nedeniyle pediatrik cer-rahi bölümünde opere olan ve intraabdominal redüksiyonu takiben karın ön duvarında doku defekti ile başvuran bir olgunun kombine polipropilen ve okside rejenere selüloz içerikli yama ve karşılıklı rotasyon flepleri ile onarımı sunulmuştur.