Reconstruction of the abdominal wall after excision of a bulky desmoid tumor and postoperative electromyography investigation to demonstrate its integrity

Reconstruction of the abdominal wall after excision of a bulky desmoid tumor and postoperative... The reconstruction of the abdominal wall following the removal of a bulky desmoid tumor involving the left rectus abdominis muscle from the xiphoid to the umbilicus is presented. After the tumor was removed, only the lateral third of the left rectus abdominis remained intact and, consequently, the muscles of the abdominal wall were mobilized according to the Ramirez technique. A polypropylene mesh was placed between the two rectus abdominis muscles and their posterior sheaths, the muscles having been sutured in the midline without tension. The anterior abdominal wall was further reinforced by using an inferiorly pedicled dermal flap in the cutaneous area between the umbilicus and the pubis. This is an area commonly removed in an abdominoplasty. An electromyographical study demonstrated that the muscles involved were functioning perfectly – both at rest and under stress – about 40 days after the surgery. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Reconstruction of the abdominal wall after excision of a bulky desmoid tumor and postoperative electromyography investigation to demonstrate its integrity

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Publisher
Springer-Verlag
Copyright
Copyright © 2001 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380100291
Publisher site
See Article on Publisher Site

Abstract

The reconstruction of the abdominal wall following the removal of a bulky desmoid tumor involving the left rectus abdominis muscle from the xiphoid to the umbilicus is presented. After the tumor was removed, only the lateral third of the left rectus abdominis remained intact and, consequently, the muscles of the abdominal wall were mobilized according to the Ramirez technique. A polypropylene mesh was placed between the two rectus abdominis muscles and their posterior sheaths, the muscles having been sutured in the midline without tension. The anterior abdominal wall was further reinforced by using an inferiorly pedicled dermal flap in the cutaneous area between the umbilicus and the pubis. This is an area commonly removed in an abdominoplasty. An electromyographical study demonstrated that the muscles involved were functioning perfectly – both at rest and under stress – about 40 days after the surgery.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Oct 23, 2001

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