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Recurrent abdominal wall desmoid – rectus muscle transposition


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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.

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Recurrent abdominal wall desmoid – rectus muscle transposition

  1. 1. Recurrent Abdominal Wall Desmoid – Rectus Muscle Transposition<br />ShaileshNisal<br />PrashantBowte<br />ParikshitJanai<br />AmitJaiswal<br />Care Hospital Nagpur<br />
  2. 2. Preoperative Planning<br />
  3. 3. Excised Specimen with 5 cm margin<br />
  4. 4. Defect created, Left rectus abdominis dissected<br />
  5. 5. Superior Pedicle confirmed and muscle transected inferiorly at level arcuate line<br />
  6. 6. Inlay Mesh inserted and anchored to abdominal wall<br />
  7. 7. Rectus Abdominis transposed and sutured to the edges of reseted abdominal wall<br />
  8. 8. Closure and cover with skin graft<br />
  9. 9. 2 weeks later – Healing by primary intension<br />
  10. 10. Towards stable cover and good abdominal wall integrity<br />
  11. 11. Thanks !<br />ShaileshNisal, PrashantBowte, ParikshitJanai, AmitJaiswal, Care Hospital Nagpur<br />