Reconstruction of full thickness abdominal wall defect following tumor resection: A case report

Introduction. Reconstruction of a full thickness abdominal wall defect is a demanding procedure for general and also for plastic surgeons, requiring vigorous planning and reconstruction of three layers. Case Outline. We present a case of a 70-year-old patient with a huge abdominal wall tumor with 40 years evolution. Surgery was performed under general anesthesia. Full thickness abdominal defect appeared after the tumor resection. Reconstruction followed in the same act. The defect was reconstructed using a combination of techniques, including omental flap, fascia lata graft, local skin flaps and skin grafts. After surgery no major complications were noted, only a partial skin flap loss, which was repaired using partial thickness skin grafts. The final result was described by the patient as very good, without hernia formation. Conclusion. Omenthoplasty, abdominal wall reconstruction in combination with free fascia lata graft and skin grafts can be one of good options for the reconstruction of full thickness abdominal wall defects.

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Follow-up: Prosthetic mesh for infected abdominal wall defects? Report of a patient with a large full thickness abdominal wall defect and colostomy due to a gunshot wound

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2007.12.003 ◽

2008 ◽

Vol 61 (4) ◽

pp. 458

Author(s):

Kresimir Bulic ◽

Mate Skegro ◽

Davor Mijatovic ◽

Ivo Dzepina

Keyword(s):

Abdominal Wall ◽

Gunshot Wound ◽

Abdominal Wall Defect ◽

Prosthetic Mesh ◽

Abdominal Wall Defects ◽

Full Thickness ◽

Wall Defect

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Prosthetic mesh for infected abdominal wall defects? Report of a patient with a large full thickness abdominal wall defect and colostomy due to a gunshot wound

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2007.03.034 ◽

2008 ◽

Vol 61 (4) ◽

pp. 455-458 ◽

Cited By ~ 6

Author(s):

Kresimir Bulic ◽

Ivo Dzepina ◽

Davor Mijatovic ◽

Josip Unusic

Keyword(s):

Abdominal Wall ◽

Gunshot Wound ◽

Abdominal Wall Defect ◽

Prosthetic Mesh ◽

Abdominal Wall Defects ◽

Full Thickness ◽

Wall Defect

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Bio‐Multifunctional Hydrogel Patches for Repairing Full‐Thickness Abdominal Wall Defect

Advanced Functional Materials ◽

10.1002/adfm.202105614 ◽

2021 ◽

pp. 2105614

Author(s):

Xiangyi Yin ◽

Yuanping Hao ◽

Yun Lu ◽

Dongjie Zhang ◽

Yaodong Zhao ◽

...

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Defect ◽

Full Thickness ◽

Wall Defect

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Reconstruction of a four-quadrant full-thickness abdominal wall defect after removal and debridement of an infected mesh hernioplasty

Journal of Plastic Reconstructive & Aesthetic Surgery ◽

10.1016/j.bjps.2010.09.002 ◽

2011 ◽

Vol 64 (2) ◽

pp. e44-e46 ◽

Cited By ~ 2

Author(s):

C. Schmitz ◽

S. Schramm ◽

J. Hankiss

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Defect ◽

Full Thickness ◽

Wall Defect ◽

Infected Mesh ◽

Four Quadrant ◽

Mesh Hernioplasty

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Reconstruction of a large full-thickness abdominal wall defect with flow-through-based alt flaps: A case report

Microsurgery ◽

10.1002/micr.30281 ◽

2017 ◽

Vol 39 (1) ◽

pp. 85-90 ◽

Cited By ~ 3

Author(s):

Dong Yeon Kim ◽

Junho Lee ◽

Jeong Tae Kim ◽

Hye Kyung Chang ◽

Suk-Ho Moon

Keyword(s):

Case Report ◽

Abdominal Wall ◽

Abdominal Wall Defect ◽

Full Thickness ◽

Wall Defect ◽

Flow Through

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Left-Sided Gastroschisis

The American Surgeon ◽

10.1177/000313480607200713 ◽

2006 ◽

Vol 72 (7) ◽

pp. 637-640 ◽

Cited By ~ 2

Author(s):

Kenneth W. Gow ◽

Amina Bhatia ◽

Daniel F. Saad ◽

Mark L. Wulkan ◽

Kurt F. Heiss

Keyword(s):

Abdominal Wall ◽

Clinical Course ◽

Abdominal Wall Defect ◽

Abdominal Wall Defects ◽

Wall Defect ◽

The Right

Gastroschisis is a periumbilical, abdominal wall defect arising to the right of the umbilicus. We describe the clinical course of a left-sided gastroschisis in a term female born at 39 weeks’ gestation. To our knowledge, there have been only 14 left-sided abdominal wall defects reported in the literature. We discuss our case and review the literature to try to determine if there is any clinic difference between right- versus left-sided lesions to make recommendations as to management.

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The Oscar Ramirez Procedure, a Solution for Treating Incisional Hernias with Big Abdominal Wall Defect

Acta Medica Marisiensis ◽

10.2478/amma-2014-0026 ◽

2014 ◽

Vol 60 (3) ◽

pp. 122-124

Author(s):

M. Gherghinescu ◽

D. Popa ◽

A. Panțiru ◽

C. Russu ◽

C. Roșca ◽

...

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Defect ◽

Postoperative Recovery ◽

Oblique Muscle ◽

Abdominal Wall Defects ◽

Hernia Sac ◽

Wall Defect ◽

External Edge ◽

Incisional Hernias ◽

Bowel Movements

Abstract Background: Incisional hernias are important complications of abdominal surgery. Normally they are followed by the growth of the hernia sac and an increase of the abdominal wall defect with loss of domain of the herniated organs. Case report: We report a case of a 51 year old female, admitted in the 1st Surgical Clinic of the County Emergency Clinical Hospital of Tîrgu Mureș with a large median reducible incisional hernia and a wall defect of 10/12 cm. The abdominoplasty was performed using the Oscar Ramirez technique, which consists of a longitudinal incision along the aponeurosis of the external oblique muscle, at approximately 1-2 cm from the external edge of the rectus abdominis. This procedure allows the abdominal wall closure. This case is part of a lot of 4 patients who received this treatment using the aforementioned procedure in the past 2 months. Postoperative recovery was favorable, bowel movements were present on the second day after the surgery, the subcutaneous drains were shortened on the fifth day and removed on the sixth. There were no immediate postoperative complications or up to a month after the surgery. The patient was discharged on the seventh day. Conclusions: This technique can be used alone in case of large abdominal wall defects, or prequeling an on-lay mesh procedure addressed to a weak abdominal wall, case in which the functional result is superior to a substitutional mesh.

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