title: Extensive Abdominal Wall Incisional Heterotopic Ossification Reconstructed with Component Separation and Strattice Inlay.
abstract: Symptomatic heterotopic ossification of abdominal surgical incisions is a rare occurrence. We present a 67-year-old man with severe discomfort caused by heterotopic ossification extending from the xiphoid to the umbilicus. The patient underwent an abdominal aortic aneurysm repair 3 years before our treatment. A 13 × 3.5 cm ossified lesion was excised. The resulting midline defect was closed using component separation and inlay Strattice. Tension-free midline adaptation of the recti muscles was achieved. A computed tomography scan of the abdomen 6 months after the surgery showed no recurrence or hernias. Heterotopic ossification in symptomatic patients has previously been treated with excision and primary closure. We believe that tension-free repair is important to prevent recurrence. Acellular dermal matrix may add to this effect and also compartmentalize the process.
authors.affiliation: Department of Plastic Surgery, Telemark Hospital Trust, Skien, Telemark, Norway.
authors.forename: Nergis Nina
authors.initials: NN
authors.lastname: Suleiman
authors.affiliation: Department of Plastic Surgery, Telemark Hospital Trust, Skien, Telemark, Norway.
authors.forename: Lars Johan Marcus
authors.initials: LJ
authors.lastname: Sandberg