Mini-abdominoplasty combined with mesh used for abdominal wall endometriosis.
BACKGROUND
Wide excision is considered the treatment of endometriosis. It is difficult to surgeon for reconstruction of a large full-thickness defect through the abdominal-wall. We introduce a method of mini-abdominoplasty combined with mesh that can be used for reconstruction of a large full-thickness defect through the abdominal-wall after wide excision of abdominal wall endometriosis.


METHODS
This retrospective study includes a series of patients who underwent wide excision of abdominal wall endometriosis and reconstruction of a large full-thickness defect through the abdominal-wall over a 5-year period. Information obtained from chart reviews includes age, size of lesion and defect, complications and revisions.


RESULTS
The method was used for 8 patients including 2 patients with recurrence. The mean size of the masses was (3.5 ± 2.0) cm. The mean size of the fascia defects was 7.1 cm × 8.6 cm. The mean length of follow-up was (24 ± 12) months. There was no recurrence, no hernia, and no other complications. The technique generated only a horizontal scar. The scar and contour of the lower abdomen provided a more pleasant appearance than the traditional procedure.


CONCLUSIONS
Mini-abdominoplasty combined with mesh is a useful and acceptable reconstruction method for large full-thickness defects through the abdominal wall after endometriosis resection. It is feasible for wide excision with 1 cm normal tissues around the margin. It provides an aesthetically pleasing result.
Department of Plastic Surgery, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.
Ru
R
Zhao
Xiao-Jun
XJ
Wang
Ke-Xin
KX
Song
Lan
L
Zhu
Bin
B
Li
D034861:Abdominal Wall / Q000601:surgery*; D061645:Abdominoplasty / Q000379:methods*; D000328:Adult; D004715:Endometriosis / Q000601:surgery*; D005260:Female; D006801:Humans; D012189:Retrospective Studies; D013526:Surgical Mesh