Recurrent abdominal wall desmoid – rectus muscle transposition
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RECURRENT ABDOMINAL WALL DESMOID – RECTUS MUSCLE TRANSPOSITION Shailesh Nisal Prashant Bowte Parikshit Janai Amit Jaiswal Care Hospital Nagpur
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Recurrent right sided abdominal wall Desmoid warranted wide resection with 5 cm margin and full thickness of the wall. Integrity of the wall needed reconstitution for proper mobility and no herniation. Latissimus Dorsi and Rectus Abdominis Muscle were kept as options, and the later executed. Served the purpose well and the the patient was rehabilitated correctly.
Transcript of Recurrent abdominal wall desmoid – rectus muscle transposition
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
