{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T11:40:07Z","timestamp":1784634007456,"version":"3.55.0"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T00:00:00Z","timestamp":1714003200000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>We present a patient who developed an incisional hernia, from epigastrium to umbilicus, after omphalocele repair. The hernia gradually enlarged to a 10\u00a0cm\u2009\u00d7\u200910\u00a0cm defect with significant rectus abdominis muscle diastasis at the costal arch attachment point. At 6\u00a0years of age, the abdominal wall defect in the umbilical region was closed using the components separation technique. For the muscle defect of the epigastric region, composite flaps were made by suturing together the flap of the upper rectus abdominis muscle, after peeling it away from the costal arch attachment point, and the vertically inverted flap of the lower rectus abdominis fascia, created with a U-shaped incision. The composite flaps from each side were reversed in the midline to bring them closer and then sutured; the abdominal wall and skin were then closed. Five months after surgery, the patient had no recurrent incisional hernia and no wound complications.<\/jats:p>","DOI":"10.1093\/jscr\/rjae259","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T22:00:50Z","timestamp":1714082450000},"source":"Crossref","is-referenced-by-count":1,"title":["Surgical technique for epigastric incisional hernia after omphalocele repair: bilateral modified composite flaps using the upper rectus abdominis muscle and the vertically inverted flap of the lower rectus abdominis fascia"],"prefix":"10.1093","volume":"2024","author":[{"given":"Yukihiro","family":"Tatekawa","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery, Okinawa Prefectural Nanbu Medical Center & Children\u2019s Medical Center , Okinawa 901-1193 , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukihiro","family":"Tsuzuki","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Okinawa Prefectural Nanbu Medical Center & Children\u2019s Medical Center , Okinawa 901-1193 , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyotetsu","family":"Oshiro","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Okinawa Prefectural Nanbu Medical Center & Children\u2019s Medical Center , Okinawa 901-1193 , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshimitsu","family":"Fukuzato","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Okinawa Prefectural Nanbu Medical Center & Children\u2019s Medical Center , Okinawa 901-1193 , Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,4,24]]},"reference":[{"key":"2024042522004328200_ref1","doi-asserted-by":"crossref","first-page":"10","DOI":"10.1016\/j.epsc.2016.04.022","article-title":"Staged abdominal closure with intramuscular tissue expanders and modified components separation technique of a giant incisional hernia after repair of a ruptured omphalocele","volume":"10","author":"Tatekawa","year":"2016","journal-title":"J Pediatr Surg Case Rep"},{"key":"2024042522004328200_ref2","doi-asserted-by":"crossref","first-page":"519","DOI":"10.1097\/00006534-199009000-00023","article-title":"\"Components separation\" method for closure of abdominal-wall defects: an anatomic and clinical study","volume":"86","author":"Ramirez","year":"1990","journal-title":"Plast Reconstr Surg"},{"key":"2024042522004328200_ref3","doi-asserted-by":"crossref","first-page":"525","DOI":"10.1016\/j.jpedsurg.2012.08.010","article-title":"Functional, motor developmental, and long-term outcome after the component separation technique in children with giant omphalocele: a case control study","volume":"48","author":"Eijck","year":"2013","journal-title":"J Pediatr 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Surg"},{"key":"2024042522004328200_ref7","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1053\/j.optechgensurg.2004.07.001","article-title":"Components separation technique to repair large midline hernias","volume":"6","author":"Bleichrodt","year":"2004","journal-title":"Oper Tech Gen Surg"},{"key":"2024042522004328200_ref8","doi-asserted-by":"crossref","first-page":"246","DOI":"10.1016\/j.jpedsurg.2007.09.051","article-title":"Closure of giant omphaloceles by the abdominal wall component separation technique in infants","volume":"43","author":"Eijck","year":"2008","journal-title":"J Pediatr Surg"},{"key":"2024042522004328200_ref9","first-page":"1449","article-title":"Management of difficult abdominal wall problems by components separation methods: a preliminary study in Thailand","volume":"96","author":"Sriussadaporn","year":"2013","journal-title":"J Med Assoc Thai"}],"container-title":["Journal of Surgical Case 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