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I agree with Dr. Morse Unfortunately, several years ago I performed an ASC on a pt who had WART and the mesh became infected 8 months afterwards. Ultimately after many courses of antibiotics we had to remove all the mesh. The Colon rectal surgeon also ...
I think the previous reconstruction surgeries likely failed because the tissue has minimal residual blood supply, and/or the tissue remaining is probably mainly epithelium. I would follow the plastic surgeon suggestion to advance a flap. Given the history ...
Any major surgical procedure in this woman has major risks. Mesh complication, bowel injury or infection could potentially be catastrophic given her history. After a grueling and disfiguring surgery, the desire to have something recover to quasi-normal ...