{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T03:50:03Z","timestamp":1761709803779,"version":"3.37.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T00:00:00Z","timestamp":1609891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The management of large abdominal wall defects, such as omphalocele or gastroschisis, remains a challenge for pediatric surgeons. Though several techniques have been described to repair those conditions, there is no procedure considered to be the standard worldwide. We report an infant girl with a giant ventral hernia after staged surgery for omphalocele in whom delayed closure of a large abdominal wall defect was performed successfully using \u201cendoscopic component separation technique (ECST)\u201d without serious complications.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A baby girl was admitted to our hospital because of a giant omphalocele, which had been prenatally diagnosed. The omphalocele was supraumbilical and included the entire liver. After staged surgery, a large abdominal wall defect was closed by skin, creating a giant ventral hernia. We performed endoscopic separation component technique (ECST) for the closure of her abdominal wall defect when she was 11\u00a0months of age. ECST was initiated with placement of a 5.0-mm port just above the inguinal ligament and under the external oblique muscle. The space between the external and internal oblique muscles was created by the insufflation pressure, and a second 5.0-mm port was placed at 1.0\u00a0cm below the inferior edge of the rib into the space. As the further dissection was carried, the aponeurosis of the external oblique muscle was identified as a white line, running vertically from the epigastrium to inguinal ligament. It was transected longitudinally using electrocautery over its full length. The same procedure was performed on the contralateral side and the abdominal wall was successfully closed. Postoperative course was uneventful.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The technique of ECST, described here, is simple and safe for infants, and the cosmetic result is satisfactory.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40792-020-01087-2","type":"journal-article","created":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T18:03:54Z","timestamp":1609956234000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Successful closure of a large abdominal wall defect using endoscopic component separation technique in an infant with a giant ventral hernia after staged surgery for omphalocele"],"prefix":"10.1186","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5159-4385","authenticated-orcid":false,"given":"Miki","family":"Toma","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihiro","family":"Yanai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiho","family":"Yoshida","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,1,6]]},"reference":[{"key":"1087_CR1","doi-asserted-by":"publisher","first-page":"519","DOI":"10.1097\/00006534-199009000-00023","volume":"86","author":"OM Ramirez","year":"1990","unstructured":"Ramirez OM, Ruas E, Dellon AL. \u201cComponents separation\u201d method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86:519\u201326.","journal-title":"Plast Reconstr Surg"},{"key":"1087_CR2","doi-asserted-by":"publisher","first-page":"246","DOI":"10.1016\/j.jpedsurg.2007.09.051","volume":"43","author":"FC van Eijck","year":"2008","unstructured":"van Eijck FC, de Blaauw I, Bleichrotd RP, Rieu PNMA, van der Staak FHJM, Wijnen MHWA, Wijnen RMH. Closure of giant omphaloceles by the abdominal wall component separation technique in infants. J Pediatr Surg. 2008;43:246\u201350.","journal-title":"J Pediatr Surg"},{"key":"1087_CR3","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1007\/s00383-005-1387-8","volume":"21","author":"RMH Wijnen","year":"2005","unstructured":"Wijnen RMH, van Eijck F, van der Staak FHJM, Bleichrotd RP. Secondary closure of a giant omphalocele by translation of the muscular layers: a new method. Pediatr Surg Int. 2005;21:373\u20136.","journal-title":"Pediatr Surg Int"},{"key":"1087_CR4","doi-asserted-by":"publisher","first-page":"2525","DOI":"10.1016\/j.jpedsurg.2013.05.067","volume":"48","author":"S Levy","year":"2013","unstructured":"Levy S, Tsao K, Cox CS Jr, Phatak UR, Lally KP, Andrassy RJ. Component separation for complex congenital abdominal wall defects: not just for adults anymore. J Pediatr Surg. 2013;48:2525\u20139.","journal-title":"J Pediatr Surg"},{"key":"1087_CR5","doi-asserted-by":"publisher","first-page":"720","DOI":"10.1097\/00006534-200002000-00039","volume":"105","author":"JB Lewe","year":"2000","unstructured":"Lewe JB, Garza JR, Bowman JL, Rohrich RJ, Strodel WE. Endoscopically assisted \u201ccomponents separation\u201d for closure of abdominal wall defects. Plast Reconstr Surg. 2000;105:720\u201330.","journal-title":"Plast Reconstr Surg"},{"key":"1087_CR6","doi-asserted-by":"publisher","first-page":"839","DOI":"10.1177\/000313481107700716","volume":"77","author":"E Albright","year":"2011","unstructured":"Albright E, Diaz D, Davenport D, Roth JS. The component separation technique for hernia repair: a comparison of open and endoscopic techniques. Am Surg. 2011;77:839\u201343.","journal-title":"Am Surg"},{"key":"1087_CR7","doi-asserted-by":"publisher","first-page":"441","DOI":"10.1007\/s10029-016-1485-7","volume":"20","author":"EHH Mommers","year":"2016","unstructured":"Mommers EHH, Wegdam JA, Nienhuijs SW, Reilingh TSV. How to perform the endoscopically assisted components separation technique (ECST) for large ventral hernia repair. Hernia. 2016;20:441\u20137.","journal-title":"Hernia"},{"key":"1087_CR8","doi-asserted-by":"publisher","first-page":"342","DOI":"10.1016\/j.amjsurg.2009.09.015","volume":"199","author":"KC Harth","year":"2010","unstructured":"Harth KC, Rosen MJ. Endoscopic versus open component separation in complex abdominal wall reconstruction. Am J Surg. 2010;199:342\u20137.","journal-title":"Am J Surg"},{"key":"1087_CR9","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1007\/s10029-007-0255-y","volume":"11","author":"MJ Rosen","year":"2007","unstructured":"Rosen MJ, Jin J, McGee MF, Williams C, Marks J, Ponsky JL. Laparoscopic component separation in the single-stage treatment of infected abdominal wall prosthetic removal. Hernia. 2007;11:435\u201340.","journal-title":"Hernia"},{"key":"1087_CR10","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.amjsurg.2014.02.013","volume":"209","author":"NJ Slater","year":"2015","unstructured":"Slater NJ, van Goor H, Bleichrodt RP. Large and complex ventral hernia repair using \u201ccomponents separation technique\u201d without mesh results in a high recurrence rate. Am J Surg. 2015;209:170\u20139.","journal-title":"Am J Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-01087-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s40792-020-01087-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-020-01087-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,1,6]],"date-time":"2021-01-06T19:46:47Z","timestamp":1609962407000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-020-01087-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,1,6]]},"references-count":10,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["1087"],"URL":"https:\/\/doi.org\/10.1186\/s40792-020-01087-2","relation":{},"ISSN":["2198-7793"],"issn-type":[{"type":"electronic","value":"2198-7793"}],"subject":[],"published":{"date-parts":[[2021,1,6]]},"assertion":[{"value":"11 September 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 November 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 January 2021","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"Informed consent was obtained from the patient.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"4"}}