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Reconstruction of an abdominal wall defect with biologic mesh after resection of a desmoid tumor in a patient with a Gardner's syndrome.

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Hammer, Jennifer [UCL] Léonard, Daniel [UCL] Château, François [UCL] Abbes Orabi, Nora [UCL] Ciccarelli, Olga [UCL] Bachmann, Radu [UCL] Remue, Christophe [UCL] Lengelé, Benoît [UCL] Kartheuser, Alex [UCL]

(eng) INTRODUCTION: 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. CASE-REPORT: 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. DISCUSSION: 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. CONCLUSION: 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.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2017
Language Anglais
Journal information "Acta Chirurgica Belgica (Bilingual Edition)" - Vol. 117, no. 1, p. 55-60 (2017)
Peer reviewed yes
Publisher Taylor & Francis ((United Kingdom) London)
issn 0001-5458
Publication status Publié
Affiliations UCL - SSS/IREC/CHEX - Pôle de chirgurgie expérimentale et transplantation
UCL - SSS/IREC/MORF - Pôle de Morphologie
UCL - (SLuc) Service de chirurgie et transplantation abdominale
UCL - (SLuc) Service de chirurgie plastique
Keywords Abdominal wall reconstruction ; Gardner’s syndrome ; biologic mesh ; desmoid tumor ; familial adenomatous polyposis
Links
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Bibliographic reference Hammer, Jennifer ; Léonard, Daniel ; Château, François ; Abbes Orabi, Nora ; Ciccarelli, Olga ; et. al. Reconstruction of an abdominal wall defect with biologic mesh after resection of a desmoid tumor in a patient with a Gardner's syndrome.. In: Acta Chirurgica Belgica (Bilingual Edition), Vol. 117, no. 1, p. 55-60 (2017)
Permanent URL http://hdl.handle.net/2078.1/183428