CASE REPORT: MULTI-MATERIAL ABDOMINAL WALL RECONSTRUCTION SURGERY AFTER MASSIVE DESMOID TUMOR RESECTION

Phạm Quang Nhật 1 , , Nguyễn Thanh Phong 1
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DOI
10.63947/bvtn.v1i3.20
Published
2025-07-10
Issue Vol. 1 No. 3 (2025): Adapting to the trend of population aging and an aged population
Section
Case Report
Categories
Research

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1.
Quang Nhật P, Thanh Phong N. CASE REPORT: MULTI-MATERIAL ABDOMINAL WALL RECONSTRUCTION SURGERY AFTER MASSIVE DESMOID TUMOR RESECTION. JHA [Internet]. Vietnam; 2025 Jul. 10 [cited 2025 Jul. 22];1(3):132–135. https://tcsuckhoelaohoa.vn/bvtn/article/view/75 doi: 10.63947/bvtn.v1i3.20
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Abstract

Abdominal wall aggressive fibromatosis (Desmoid tumor) is a rare, locally invasive tumor with a high recurrence rate. This study reports a case of surgical resection of a large tumor and multi-material abdominal wall reconstruction, evaluating functional and aesthetic outcomes. A 29-year-old male presented with a 10x15cm abdominal wall mass, diagnosed as Desmoid tumor via biopsy. The patient underwent complete tumor resection, resulting in a significant abdominal defect. Reconstruction was performed using a combination of intraperitoneal onlay mesh (IPOM), rectus abdominis muscle flap, and fascia flap. Pathology confirmed R0 resection. The patient was discharged on day 7 without major complications. At 1-year follow-up, results showed excellent aesthetic and functional recovery with no recurrence. Surgical resection of Desmoid tumors combined with multi-material abdominal wall reconstruction is a feasible approach, ensuring long-term functional and aesthetic success. This case highlights the importance of selecting appropriate reconstruction techniques for large post-resection defects.

Keywords

Desmoid tumor abdominal wall reconstruction synthetic mesh autologous tissue flap multimodal surgery

References

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© 2025 The Author(s). Published by Journal of Health and Aging.

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