Reconstruction of an abdominal wall defect with biologic mesh after resection of a desmoid tumor in a patient with a Gardner's syndrome
| Autor: | Radu Bachmann, Alex Kartheuser, François Chateau, Daniel Léonard, Olga Ciccarelli, Nora Abbes Orabi, Christophe Remue, Benoît Lengelé, Jennifer Hammer |
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| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Context (language use) Fibromatosis Abdominal Abdominal cavity Familial adenomatous polyposis Resection Abdominal wall 03 medical and health sciences Young Adult 0302 clinical medicine medicine Humans Gardner Syndrome Medical treatment business.industry Abdominal wall defect Abdominal Wall General Medicine Surgical Mesh medicine.disease Surgery body regions Gardner's syndrome medicine.anatomical_structure 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Female business |
| Zdroj: | Acta chirurgica Belgica. 117(1) |
| ISSN: | 0001-5458 |
| Popis: | Desmoid tumors are rare proliferative and invasive benign lesions. They can be sporadic, but in most instances, desmoid tumors develop in the context of Gardner's syndrome with principal localization in the abdominal cavity and abdominal wall.We report the case of a 24-year-old female presenting Gardner's syndrome with a symptomatic abdominal wall desmoid tumor. Lack of response to medical treatment led to surgical management consisting in a complete resection and parietal reconstruction with a biologic mesh. Postoperative course was uneventful and there was no evidence of recurrence at 12 months of follow-up.Conventional treatment of abdominal wall desmoid tumors consists in a wide and radical resection. However, complete resection is not always feasible because of difficulty to differentiate the desmoid tumor from adjacent tissues. The surgical approach may require different techniques to repair the parietal defect including prosthetic material such as synthetic or biologic meshes. Biological mesh is an ideal alternative to synthetic graft, mainly in case of infection.We have encountered a case of a symptomatic growing desmoid tumor of the abdominal wall in a young patient with Gardner's syndrome, successfully treated by complete resection and reconstruction with a biologic mesh to correct the parietal defect. |
| Databáze: | OpenAIRE |
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