Summary
Introduction
Lipofilling has been used in plastic surgery for breast reconstruction and treatment
of burns. Carrying out minimally invasive techniques would allow treatment of hypertrophic
scars and depressed suprapubic area in exstrophic patients to improve their aesthetic
appearance.
Material and methods
This video presents the case of a female 16 year old patient with bladder exstrophy,
who initially had an urinary reconstruction with ureterosigmoidostomy and posteriorly
bladder augmentation and Mitrofanoff, with hypertrophic scars and depressed abdominal
wall in suprapubic area. We present this procedure for autologous fat grafting with
stem cells in the abdominal area.
Results
The lipofilling procedure was carried out successfully, without intraoperative complications
in 120 min. The liposuction was 250 cc and 80 cc was used for injection, achieving
the improvement of the aesthetic appearance of the scars in a short time. The imaging
control was follow up with abdominal wall ultrasound, three months later, increasing
its thickness by 42%.
Conclusion
The autologous fat grafting with stem cells is a safe and feasible procedure in the
exstrophic population, with excellent aesthetic results, but we need long term follow
ups to determine how long the effect of fat grafting remains.
Keywords
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References
- Current applications of adipose-derived stem cells and their future perspectives.World J Stem Cell. 2014; 6: 65-68
- The power of fat and its adipose-derived stromal cells: emerging concepts for fibrotic scar treatment.J Tissue Eng Regen Med. 2017; 11: 3220-3235
- Hand rejuvenation with structural fat grafting.Plast Reconstr Surg. 2002; 110 (discussion 45-7): 1731-1744
- Fat injection for cases of severe burn outcomes: a new perspective of scar remodeling and reduction.Aesthetic Plast Surg. 2020; 44: 1278-1282
Article info
Publication history
Published online: December 21, 2020
Accepted:
December 14,
2020
Received:
October 12,
2020
Identification
Copyright
Published by Elsevier Ltd on behalf of Journal of Pediatric Urology Company.
