Heterotopic Ossification Developing in Surgical Incisions of the Abdomen

Kim, Jinoo; Kim, Yongsoo; Jeong, Woo Kyoung; Song, Suk-Won; Cho, On Koo

doi:10.1097/rct.0b013e318159c617

Cited by 30 publications

(14 citation statements)

References 8 publications

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“… 9 Research has shown lately that mechanical stress is a factor of importance in the differentiation of pluripotent stem cells into bone tissue or other tissues. 10 , 11 Heterotopic ossification, just like hernias, is much less common in transverse than midline incisions 1 ; this is, in our opinion, likely because of lesser tension in the wound. We believe that a tension-free closure is of importance not only to prevent hernias but also to prevent heterotopic ossification, and we recommend component separation as part of the treatment.…”

Section: Discussionmentioning

confidence: 75%

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Extensive Abdominal Wall Incisional Heterotopic Ossification Reconstructed with Component Separation and Strattice Inlay

Suleiman

Sandberg

2016

Plastic and Reconstructive Surgery - Global Open

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Summary: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.

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Section: Discussionmentioning

confidence: 75%

“…Postoperative calcifications are visible in up to 25.7% of postoperative abdominal computed tomography (CT) scans of midline incisions. 1 There is a predilection for upper midline incisions; however, symptomatic heterotopic ossification of the abdominal wall seems to be much less common, with only single cases and small case series reported. 2 – 5 …”

mentioning

confidence: 99%

Extensive Abdominal Wall Incisional Heterotopic Ossification Reconstructed with Component Separation and Strattice Inlay

Suleiman

Sandberg

2016

Plastic and Reconstructive Surgery - Global Open

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“…Так, в исследовании J. Cho с соавт. [33] после 36 мес наблюдения в 56% случаев выявлена гетеротопическая оссификация I−II степени и в 3% -оссификация III степени. В работе М. Barbagallo с соавт.…”

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Analysis of Results of the Intervertebral Total Disk Arthroplasty of the Lumbar Spine by M6-L Prosthesis: A Multicenter Study

et al. 2017

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Background: Pain in the lower back is an urgent health issue in industrialized countries. The dominant cause of pain in the lumbosacral spine is the degeneration of the inter vertebral discs (I VD). The total prosthetics I VD is a modern method of surgical treatment of I VD degenerative diseases, an alternative method of rigid stabilization.Aim: To analyze the results of surgical inter vention (I VD prosthesis M6-L implantation) in patients with I VD degeneration of lumbar spine at the 6, 12, 24, and 36 months after the surger y.Materials and methods: The study included 156 patients (92 men, 64 women) aged 23 to 45 years who under went a single-level discectomy with implantation of an artificial IVD prosthesis M6-L at the bases of three neurosurgical centers. For dynamic assessment, clinical parameters (pain intensity from the visual analogue pain scale (VAS), quality of life according to the Oswestry index, subjective satisfaction with the result of surgical treatment on the Macnab scale) and instrumental data (amplitude of movements in the operated spinal-motor segment, degree of heterotopic ossification according to McAfeeSuchomel classification) were applied at 6, 12, 24, and 36 months after surger y.Results: The mean value of the quality of life for the Oswestr y index before surger y was 40.2±6.9%, after ― 12.3±6.1% (t-test, p0.001). The mean value of the level of pain according to VAS before surger y was 6.9±1.6 cm; after surger y ― 1.3±1.2 cm (t-test, p0.001). The average range of motion in the operated segment at baseline was 36.8±2.6°, within 36 months after the operation increased up to 41.2±2.9°. During the entire period of obser vation the initial (13.4%) or moderate (10.2%) signs of heterotopic ossification were revealed. Conclusions: The use of prosthetic I VD M6-L can significantly reduce the level of pain, improve the life quality, and maintain the physiological range of motion in the operated spinal motion segment with a low level of adverse outcomes.

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“…Heterotopous bone can also develop in the peritoneum as seen in our case, the mesocolon or adjacent to abdominal surgical incisions [1, 4, 5]. Based on etiology, HMO can be categorized as post-traumatic or post-surgical.…”

Section: Discussionmentioning

confidence: 99%

Intra-abdominal myositis ossificans in an asymptomatic patient during closure of a Hartmann's colostomy

et al. 2016

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Intra-abdominal myositis ossificans, also known as heterotopic mesenteric ossification, defines the formation of bone-like lesions inside the abdominal cavity. It is a rare medical condition, usually following abdominal surgery or trauma. A 55-year-old male presented for closure of a Hartmann's colostomy, created 6 months ago because of sigmoid adenocarcinoma. Intraoperative findings consisted of an elongated bone-like lesion attached on the peritoneum and protruding inside the abdominal cavity, while two more stiff calcified nodules were found in the mesocolon. All lesions were excised. The presence of a hard consistency sigmoid stump led to cancelation of the operation. Heterotopous bone formation constitutes a challenging surgical condition, since its clinical presentation is innocuous and repetitive surgery acts a stimuli for additional bone creation. Computed tomography scan plays a major role in its diagnosis, while nonsteroidal anti-inflammatory drugs and cimetidine are helpful in preventing further recurrence of the disease.

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Heterotopic Ossification Developing in Surgical Incisions of the Abdomen

Abstract: The development of HOs in abdominal incisions is a common finding and may be self-limiting. The upper midline incision seems to affect its incidence not uniquely.

Cited by 30 publications

References 8 publications

Extensive Abdominal Wall Incisional Heterotopic Ossification Reconstructed with Component Separation and Strattice Inlay

Extensive Abdominal Wall Incisional Heterotopic Ossification Reconstructed with Component Separation and Strattice Inlay

Analysis of Results of the Intervertebral Total Disk Arthroplasty of the Lumbar Spine by M6-L Prosthesis: A Multicenter Study

Intra-abdominal myositis ossificans in an asymptomatic patient during closure of a Hartmann's colostomy

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