With the patient in a supine position, the scar of the previous incisional biopsy was excised. Preparation was made for a latissimus dorsi free flap in the event of a large residual abdominal wall defect. The abdomen was opened in a clean plane adjacent to the origin of the tumor from the rectus sheath. Under direct vision, the tumor was freed from its abdominal wall attachments. There was no involvement of the underlying viscera.
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