RECURRENT ABDOMINAL WALL DESMOID – RECTUS MUSCLE TRANSPOSITION

Shailesh NisalPrashant BowteParikshit JanaiAmit JaiswalCare Hospital Nagpur

PREOPERATIVE PLANNING

EXCISED SPECIMEN WITH 5 CM MARGIN

DEFECT CREATED, LEFT RECTUS ABDOMINIS DISSECTED

SUPERIOR PEDICLE CONFIRMED AND MUSCLE TRANSECTED INFERIORLY AT LEVEL ARCUATE LINE

INLAY MESH INSERTED AND ANCHORED TO ABDOMINAL WALL

RECTUS ABDOMINIS TRANSPOSED AND SUTURED TO THE EDGES OF RESETED ABDOMINAL WALL

CLOSURE AND COVER WITH SKIN GRAFT

2 WEEKS LATER – HEALING BY PRIMARY INTENSION

TOWARDS STABLE COVER AND GOOD ABDOMINAL WALL INTEGRITY

THANKS !

Shailesh Nisal, Prashant Bowte, Parikshit Janai, Amit Jaiswal, Care Hospital Nagpur