Velasquez Jose' F, Nele Gisella, Giordano Salvatore
Department of Surgery, Satakunta Central Hospital, Pori, Finland.
Department of Plastic and General Surgery, Turku University Hospital, Turku, Finland.
J Surg Case Rep. 2018 Apr 9;2018(4):rjy071. doi: 10.1093/jscr/rjy071. eCollection 2018 Apr.
We report a case in which abdominal tattoo margins were modified and used to hide the surgical incision for desmoid tumour removal. Our patient is a 37-year-old female with history remarkable for atrial septal defect closure at the age of ten, but not for previous abdominal surgeries or trauma. A desmoid tumour diagnosis was made upon needle biopsy of the 5 × 4 cm mass confined to the rectus abdominis. Subsequently, tumour was resected with an incision through the tattoo upper margin and abdominal wall was reconstructed with primary fascial closure mesh reinforced. Excision was radical, scar inconspicuous and no incisional hernia, bulging, nor tumour recurrence were detected at 2-year follow-up. This report highlights the fact that an abdominal tattoo might be considered as incision access instead of typical midline incision.
我们报告了一例通过修改腹部纹身边缘来隐藏手术切口以切除硬纤维瘤的病例。我们的患者是一名37岁女性，有显著病史，十岁时曾进行房间隔缺损封堵术，但既往无腹部手术或外伤史。经针吸活检确诊为5×4 cm局限于腹直肌的硬纤维瘤。随后，通过纹身的上缘做切口切除肿瘤，并采用初级筋膜闭合网片加强进行腹壁重建。切除彻底，疤痕不明显，在2年的随访中未发现切口疝、膨出或肿瘤复发。本报告强调了腹部纹身可被视为替代典型中线切口的手术入路这一事实。
