A Case of Prune-belly Syndrome Treated With Laparoscopic-Assisted Abdominal Wall Plication

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We report a case of prune-belly syndrome (PBS) treated with laparoscopic-assisted abdominal wall plication. A 12-year-old boy, diagnosed with PBS, presented with right lateral abdominal wall deficiency and underwent abdominal wall reconstruction. During the operation, a 5 mm trocar was inserted through an umbilical incision. When the abdomen was insufflated at 10 mmHg CO2, a bulged area was observed in the right lateral abdominal wall. The skin around the top of the abdominal wall bulge was incised. The skin and subcutaneous tissue were lifted off the abdominal wall until the normal muscles were seen. The fascia were grasped with Allis clamps and vertically plicated by using non-absorbable materials. This abdominal procedure was performed under laparoscopic guidance with care to avoid bowel injury. The drainage tube was placed in the subcutaneous region and excess abdominal skin was removed. Abdominal plication is a simple and highly effective approach for the management of abdominal wall deficiency with PBS. Laparoscopy-guided procedure improved the safety and efficacy of abdominal plication. We recommend that laparoscopic-assisted abdominal wall plication should be considered as an effective approach for the treatment of PBS.
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