J Reconstr Microsurg 2004; 20(3): 237-240
DOI: 10.1055/s-2004-823111
Copyright © 2004 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Neurovascular Latissimus Dorsi Free-Flap Transfer for Reconstruction of a Major Abdominal-Wall Defect in a 13-Month-Old Child: Late Follow-Up

Carlos Olvera-Caballero1 , Guillermo Victoria-Morales2
  • 1Plastic and Reconstructive Surgery Service “Hospital Para El Nino Poblano” Puebla, Puebla, Mexico
  • 2Pediatric Surgery Service “Hospital Para El Nino Poblano” Puebla, Puebla, Mexico
Further Information

Publication History

Accepted: 28 November 2003

Publication Date:
16 April 2004 (online)

The authors present a late follow-up of a pediatric case originally reported in the Journal (J Reconstr Microsug 1998;14:341), involving a newborn with a left gastroschisis, exposure of the stomach, jejunum, and left colon. Subsequent to placement of silicone mesh, the child developed a nosocomial infection, which led to necrosis of the skin, subcutaneous tissue, and muscle. Post infection control, the abdominal viscera were covered with only skin and subcutaneous tissue. At 13 months, the abdominal-wall defect was reconstructed with a free latissimus dorsi microneurovascular flap. A current late follow-up at 9.5 years demonstrates mean normal growth, good abdominal-wall resistance and contraction, and caudal scar migration, with little visibility.

REFERENCES

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Carlos Olvera-CaballeroM.D. 

25 Oriente 1809, Col. Bellavista

Puebla, Pue. Mexico 72540