A staged reconstruction technique utilizing bioprosthetic mesh reinforcement in the repair of giant omphalocele

Reconstruction of complex anterior abdominal wall defects, such as giant omphaloceles, remains a reconstructive challenge for plastic and pediatric surgeons. Though several repair techniques have been described in the literature, no standardized method has explicitly developed to treat patients. The utilization intraabdominal tissue expanders augment domain reported potential technique. Despite its documented application, substantial controversy regarding expander implementation due associated complications. We describe staged reconstruction technique with acellular dermal matrix-assisted musculofascial followed by delayed skin closure. Utilization this bioprosthetic mesh defects is well-described adult population. applied principle preschool-aged child omphalocele. This provides medium bolster musculofascia, limit formation visceral adhesions, decrease need numerous procedures, reduce risk infection or pulmonary compromise. report denotes that reinforcement may be utilized functional large, malformations