Archives of Plastic Surgery

  • 제52권2호
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  • Pages.76-81
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  • 2025
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Abdominal Wall Reconstruction in Abdominal Wall Endometriosis: A Case Report and Literature Review

  • Otis C. van Varsseveld (Department of Surgery, University Medical Center Groningen, University of Groningen) ;
  • Gustavo G. Koeijers (Department of Plastic, Reconstructive and Hand Surgery, Curacao Medical Center) ;
  • Juan M. Rodriguez Vitoria (Department of Surgery, Curacao Medical Center) ;
  • Igor Gomes Bravio (Department of Obstetrics & Gynecology, Curacao Medical Center)
  • 투고 : 2023.07.13
  • 심사 : 2024.05.28
  • 발행 : 2025.03.15
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초록

Abdominal wall endometriosis (AWE) is a rare condition representing 1% of patients operated for endometriosis. We describe a case of a 26-year-old woman, with a history of cesarean delivery, who presented with cyclical pain and a subcutaneous mass in the lower abdomen. Where most AWE lesions may be surgically managed by a single surgeon, imaging revealed an unusually large lesion (13 × 4 × 10 cm) involving the rectus abdominis muscle. Plastic, gynecologic, and general surgeons combined their expertise to conduct AWE excision combined with miniabdominoplasty in a single procedure. After resection, a retrorectus mesh (Rives-Stoppa technique) reinforced the primarily closed posterior rectus sheath and an inlay mesh bridged the defect left in the anterior rectus sheath. The patient was discharged 3 days postoperatively, had minimal pain complaints, and was satisfied with cosmetic results at 1-month and later follow ups. One year postoperatively, she gave uncomplicated vaginal birth. We conclude that, in select cases, management of a large, symptomatic AWE may benefit from a multidisciplinary approach, where symptom relief and an aesthetically pleasing result for the patient can be achieved in a single procedure.We distinctively describe double mesh repair as a viable consideration for reconstruction in AWE and review current considerations in mesh repair of the abdominal wall. Further studies into this topic are warranted.

키워드

과제정보

We thank Jose M. Archuleta for providing us with the pathological images and their interpretation (►Fig. 3). We also thank Ilse I. Posthumus for her contribution in designing and illustrating the axial cross-section figure of the anterior abdominal wall anatomy (►Fig. 5).

참고문헌

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