Asian Journal of Case Reports in Surgery

Transversus Abdominis Muscle Release for a Rare Case of Complex Ventral Hernia with Desmoid Tumour

Gayatri Amit Deshpande *

Department of Surgery, Government Medical College, Nagpur, India.

Vikrant Akulwar

Department of Surgery, Government Medical College, Nagpur, India.

Bhupesh Tirpude

Department of Surgery, Government Medical College, Nagpur, India.

Hemant Bhanarkar

Department of Surgery, Government Medical College, Nagpur, India.

Girish Kodape

Department of Surgery, Government Medical College, Nagpur, India.

Raj Gajbhiye

Department of Surgery, Government Medical College, Nagpur, India.

*Author to whom correspondence should be addressed.

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Abstract

Desmoid tumour in previous laparotomy scar is a rare clinical entity in men. The gold standard treatment for desmoid tumour is surgical excision with a free resection margin, which leaves behind a defect in the abdominal wall. The presence of a pre existing complex ventral hernia makes the closure of the abdominal wall difficult. Of the various techniques described, posterior component separation using the transversus abdominis muscle release (TAR) is most suitable in such scenarios. We describe a case of a complex ventral hernia with a desmoid tumour that was surgically excised and the complex hernia was repaired using TAR technique.

Keywords: Desmoid tumour, transversus abdominis release, posterior component separation

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