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Laparoscopic assisted modification of the firlit abdominal wall plication
1Department of Urology, New York Medical College, Hawthorne, New York, USA. Isfranco@optonline.net
Purpose:
We describe a modification of the Firlit abdominal wall plication procedure for abdominal wall reconstruction in the prune-belly syndrome.
Materials And Methods:
Five boys with the prune-belly syndrome and 1 with congenital atrophy or hypotrophy of the internal and external oblique muscles underwent laparoscopic assisted abdominal wall reconstruction.
Results:
All 6 patients had excellent cosmetic results, with no weakness or sagging of the abdominal wall.
Conclusions:
Laparoscopy appears to add to the Firlit procedure an increased measure of safety and a possible decrease in morbidity associated with opening the abdomen, and improved precision that enhances the results achieved with the original procedure and other abdominal wall repairs.