Franco Israel
Department of Urology, New York Medical College, Hawthorne, New York, USA.
J Urol. 2005 Jul;174(1):280-3. doi: 10.1097/01.ju.0000161214.65458.c2.
We describe a modification of the Firlit abdominal wall plication procedure for abdominal wall reconstruction in the prune-belly syndrome.
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.
All 6 patients had excellent cosmetic results, with no weakness or sagging of the abdominal wall.
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.
