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Use of vascularized posterior rectus sheath allograft in pediatric multivisceral transplantation--report of two cases.

Publication ,  Journal Article
Ravindra, KV; Martin, AE; Vikraman, DS; Brennan, TV; Collins, BH; Rege, AS; Hollenbeck, ST; Chinappa-Nagappa, L; Eager, K; Cousino, D; Sudan, DL
Published in: Am J Transplant
August 2012

Restoring abdominal wall cover and contour in children undergoing bowel and multivisceral transplantation is often challenging due to discrepancy in size between donor and recipient, poor musculature related to birth defects and loss of abdominal wall integrity from multiple surgeries. A recent innovation is the use of vascularized posterior rectus sheath to enable closure of abdomen. We describe the application of this technique in two pediatric multivisceral transplant recipients--one to buttress a lax abdominal wall in a 22-month-old child with megacystis microcolon intestinal hypoperistalsis syndrome and another to accommodate transplanted viscera in a 10-month child with short bowel secondary to gastoschisis and loss of domain. This is the first successful report of this procedure with long-term survival. The procedure has potential application to facilitate difficult abdominal closure in both adults and pediatric liver and multivisceral transplantation.

Duke Scholars

Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

August 2012

Volume

12

Issue

8

Start / End Page

2242 / 2246

Location

United States

Related Subject Headings

  • Urinary Bladder
  • Transplantation, Homologous
  • Surgery
  • Organ Transplantation
  • Male
  • Intestinal Pseudo-Obstruction
  • Infant
  • Humans
  • Female
  • Colon
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Ravindra, K. V., Martin, A. E., Vikraman, D. S., Brennan, T. V., Collins, B. H., Rege, A. S., … Sudan, D. L. (2012). Use of vascularized posterior rectus sheath allograft in pediatric multivisceral transplantation--report of two cases. Am J Transplant, 12(8), 2242–2246. https://doi.org/10.1111/j.1600-6143.2012.04088.x
Ravindra, K. V., A. E. Martin, D. S. Vikraman, T. V. Brennan, B. H. Collins, A. S. Rege, S. T. Hollenbeck, et al. “Use of vascularized posterior rectus sheath allograft in pediatric multivisceral transplantation--report of two cases.Am J Transplant 12, no. 8 (August 2012): 2242–46. https://doi.org/10.1111/j.1600-6143.2012.04088.x.
Ravindra KV, Martin AE, Vikraman DS, Brennan TV, Collins BH, Rege AS, et al. Use of vascularized posterior rectus sheath allograft in pediatric multivisceral transplantation--report of two cases. Am J Transplant. 2012 Aug;12(8):2242–6.
Ravindra, K. V., et al. “Use of vascularized posterior rectus sheath allograft in pediatric multivisceral transplantation--report of two cases.Am J Transplant, vol. 12, no. 8, Aug. 2012, pp. 2242–46. Pubmed, doi:10.1111/j.1600-6143.2012.04088.x.
Ravindra KV, Martin AE, Vikraman DS, Brennan TV, Collins BH, Rege AS, Hollenbeck ST, Chinappa-Nagappa L, Eager K, Cousino D, Sudan DL. Use of vascularized posterior rectus sheath allograft in pediatric multivisceral transplantation--report of two cases. Am J Transplant. 2012 Aug;12(8):2242–2246.
Journal cover image

Published In

Am J Transplant

DOI

EISSN

1600-6143

Publication Date

August 2012

Volume

12

Issue

8

Start / End Page

2242 / 2246

Location

United States

Related Subject Headings

  • Urinary Bladder
  • Transplantation, Homologous
  • Surgery
  • Organ Transplantation
  • Male
  • Intestinal Pseudo-Obstruction
  • Infant
  • Humans
  • Female
  • Colon