EP-175 Two-layer Biodegradable Temporizing Matrix Reconstruction of Abdominal Wall Dermatofibrosarcoma Protuberans
نویسندگان
چکیده
Abstract Dermatofibrosarcoma protuberans (DFSP) is a rare, locally invasive dermal sarcoma. The management generally surgical, with wide local excision (WLE) forming the mainstay of treatment. Large abdominal wall defects are most aesthetically reconstructed using pedicled or free flaps; however, these require tumour-free surgical margins, and can cause donor site morbidity. We describe an alternative, aesthetic, low-morbidity technique for reconstruction following WLE DFSP, 2 layers novel synthetic matrix (NovoSorb® BTM). A 25-year-old women presented large DFSP involving right anterior-abdominal wall. After 3cm BTM was implanted to sub-fascial defect. At 6 weeks, after histological confirmation second layer applied improve significant contour deformity wound bed. complete integration by 7 split-thickness skin graft harvested from thigh fixed new dermis. 14-days postoperatively, had fully taken, healed. By 8 scar started mature no obvious defect contracture. Overall, patient satisfied functional aesthetic outcome. To our knowledge, two-layer artificial has never been described reconstruction. found that double-layer able restore inherent thickness pliability in complex offers improved durability cosmesis compared grafting indeed single substitutes alone.
منابع مشابه
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ژورنال
عنوان ژورنال: British Journal of Surgery
سال: 2022
ISSN: ['1365-2168', '0007-1323']
DOI: https://doi.org/10.1093/bjs/znac245.043