The use of Surgisis® for abdominal wall reconstruction in the separation of omphalopagus conjoined twins

摘要: Abdominal wall reconstruction in omphalopagus twins poses a difficult reconstructive challenge, as separation often results large abdominal defect. A number of options are available for closure, including tissue flaps, expanders and patches made foreign material. Surgisis® is new biodegradable small intestine scaffolding substrate that permits in-growth permanent durable scar. We describe its use after set conjoined twins. shared liver wall. After at 6 months age, Twin A’s abdomen could be closed primarily, but B not. 4-ply mesh was used the upper skin flap created, to completely cover patch. Both survived operation. portion over broke down, healing by secondary intention. In follow up 18 post procedure, there have been no wound infections intact with evidence hernia. can successfully complex defects pediatric patient,