doiSerbia

Single stage surgical treatment of amniotic band syndrome: Case report

Komarčević Aleksandar (Faculty of Medicine, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)
Pajić Miloš (Faculty of Medicine, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)
Đermanov Marina (Faculty of Medicine, Novi Sad + Institute for Child and Youth Health Care of Vojvodina, Novi Sad)
Jovanović Mladen (Faculty of Medicine, Novi Sad + Clinical Center of Vojvodina, Clinic for Plastic and Reconstructive Surgery, Novi Sad)
Tatić Milanka (Faculty of Medicine, Novi Sad + Institute of Oncology, Clinic for Operative Oncology, Sremska Kamenica)

Introduction. Amniotic band syndrome is a rare congenital disorder with clinical presentation of constricting bands in different parts of extremities or whole extremities. Conservative or surgical treatment is provided depending on the type and severity of the anomaly. Case Outline. The paper presents the case of a neonate patient with constriction bands localized on the left leg. During the second week of life, a surgery was indicated, and a single-stage multiple Z-plasty was performed to correct the anomalies on the left lower leg. Postoperative edema in the distal part of the lower leg was easily managed by incisions and drainage. Two months later, the correction of the stricture of the left thigh was managed using the same procedure. The postoperative course was uneventful and the outcome was satisfactory after a two-year follow-up. Conclusion. Evaluation of a patient with amniotic band syndrome, as well as diagnosis, monitoring, treatment and postoperative care, should always be multidisciplinary. A single-stage correction approach provided satisfactory both functional and aesthetic results. Given many morphological variations of the syndrome, a decision on the strategy of treatment should be made individually for each patient.

Keywords: amniotic band syndrome, congenital anomaly, pediatric surgery, treatment, outcome