Composite Lower Back and Buttock Reconstruction with Gluteal Myocutaneous Flap in the Just Born

Review of the literature has not revealed a younger patient in plastic surgery than the one described in this article. Instances have been reported where newborns are operated on before 24 hours of age for cardiovascular or respiratory compromise.Major vascular shunting in a girl born at 36 weeks' gestation (weight, 3400 g; length, 50 cm) with a massive (1530 g, 21 cm) sacrococcygeal cystic teratoma compelled the medical and surgical pediatric teams to undertake an immediate postnatal bulk reduction surgery at 12 hours of age. The issue was compounded further by hemorrhage from the teratoma at cesarean section.