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It is all about form and function: a new approach to giant neonatal sacrococcygeal teratomas

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Abstract

Introduction

Giant sacrococcygeal teratomas (GSCTs) involve severe deformation of the buttock region in addition to potential functional impacts. Little interest has been given to improving the aesthetic post-operative appearance in children with these tumours.

Methods

We describe a new technique for immediate reconstruction of GSCTs using buried dermal-fat flaps and a low transverse scar in the infragluteal fold.

Results

Our technique allows wide exposure for tumour resection and functional restoration of the pelvic floor while placing the scars in anatomical locations and restoring buttock aesthetics including gluteal projection and infragluteal fold definition.

Conclusion

Reestablishment of function and form should be kept in mind at initial surgery in GSCT surgery to maximize results and enhance post-operative outcomes.

Level of evidence

IV.

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Funding

No financial support was obtained for the realization of this research.

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Authors and Affiliations

Authors

Contributions

E.B. and L.C-L wrote the main manuscript text and S.P. prepared figures 1-4. All authors (E.B., S.P., L.C-L, A.A, S.B, R.B, C.P.) reviewed the manuscript.

Corresponding author

Correspondence to Emilie Bougie.

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Bougie, E., Padeanu, S., Plourde, C. et al. It is all about form and function: a new approach to giant neonatal sacrococcygeal teratomas. Pediatr Surg Int 39, 182 (2023). https://doi.org/10.1007/s00383-023-05454-6

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  • DOI: https://doi.org/10.1007/s00383-023-05454-6

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