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Abdominal wall closure after intestinal transplantation
I J Alexandrides1, P Liu, D M Marshall
1Department of Surgery, University of Miami School of Medicine-Jackson Memorial Hospital, FL 33101, USA.
Plastic and Reconstructive Surgery
|September 28, 2000
Summary
Abdominal wall closure after intestinal transplantation is challenging due to size discrepancies and edema. Plastic surgeons play a key role in managing these complex cases for successful outcomes.
Area of Science:
- Surgical Reconstruction
- Transplantation Surgery
- Abdominal Wall Closure
Background:
- Intestinal transplantation presents unique challenges for abdominal wall closure.
- Factors include restricted recipient cavity volume, donor-recipient size mismatch, and intraoperative edema.
Observation:
- A retrospective review of 57 intestinal transplantations (36 pediatric, 21 adult) was conducted.
- 33% of cases involved insufficient donor graft size requiring technical modifications for closure.
Findings:
- All 57 transplantations achieved successful abdominal wall closure.
- Technical modifications were crucial in cases with size discrepancies.
Implications:
- Plastic and reconstructive surgeons are integral to planning and managing abdominal wall closure in intestinal transplant patients.
- This expertise is vital for achieving functional and anatomical closure in complex cases.