V-020 Botulinum Toxin: not just aesthetics anymore

Abstract Introduction Surgical repair of recurrent abdominal incisional hernia can be challenging. The aim should a tension-free, mesh reinforced midline fascial closure. Different methods have been described to achieve this primary Botulinum toxin (BT) is neurotoxin that when injected into muscle tissue, causes temporary flaccid paralysis. This effect applied the lateral wall muscles, thereby facilitating rectus muscles re-approximation and defect Clinical Case We present case 58 year old female, with history right hemicolectomy ileostomy, underwent subsequent stoma closure one after. She presented 12 cm width atrophy. demonstrate preoperative injection BT using Zielinski technique in consultation room no need for patient monitoring or anesthesia. Four weeks later, open bilateral transversus abdominis release retromuscular reinforcement. The was closed without tension postoperative period uneventful. Patient discharged on day 4. Conclusion Preoperative as selective chemical component paralysis safe, easy perform effective aims counteract chronic retraction observed large ventral hernias. combination advanced techniques, may help provide crucial extra tissue mobility required closure, added advantage less pain, contributing early discharge.