Abstract

IWANYK, P.; IACOUZZI, S.; TRAINE, E.  and  SCHRIMER, C.. Reconstruction of abdominal wall sequelae in patients with cloacal extrophy. Cir. plást. iberolatinoam. [online]. 2009, vol.35, n.2, pp.135-140. ISSN 1989-2055.

Abdominal congenital defects of the middle line have their origin in developmental faults of mesoderm between the umbilical region and the cloacal membrane, originating visceral, muscular and osseous defects in the abdominal wall. Repeated attempts to reconstruct the intestinal and genitourinary tract here and in other malformations, can cause serious sequeals in the previously deformed abdominal wall. We present 2 cases of abdominal wall reconstruction in patients with serious sequelae of cloacal extrophy. Complexity of this malformation calls for an interdisciplinary treatment to avoid the severe damage that may be caused during reconstructive attempts. In spite of lack of tissue because of the malformation and the sequelae of multiple surgeries we obtain a functional and aesthetic result thanks to the adequate utilization of the expanded tissue and of the remnant tissue complemented in one patient with a prosthetic mesh.

Keywords : Cloacal extrophy; Tissue expander; Abdominal wall; Congenital malformation.

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