Radical tumor excision and immediate abdominal wall reconstruction in patients with aggressive neoplasm compromised full-thickness lower abdominal wall.
BACKGROUND
Radical tumor resection and immediate lower abdominal wall reconstruction in patients with aggressive neoplasm invading full-thickness abdominal wall are challenging because of their close proximity and possible invasion to bone and great vessels, as well as consequent giant defect.


METHODS
Data on 16 patients were reviewed retrospectively. Radical neoplasm resection and immediate abdominal wall reconstruction using the combined technique of intraperitoneal mesh placement, sublay technique, pedicled great omentum flap, and rotation skin graft were performed.


RESULTS
Sixteen patients underwent radical abdominal wall neoplasm resection, achieving clear margin of >3 cm. The mean size of consequent giant defect was 226.5 ± 65.5 cm(2), with a mean polypropylene mesh size of 160.7 ± 40.5 cm(2) and a mean compound mesh size of 330.8 ± 100.2 cm(2). Sixteen patients had a mean follow-up duration of 32.5 ± 12.5 months. Four patients developed incisional infections, and 1 patient died of several metastatic lesions 24 months postoperatively. No ventral hernia and abdominal wall recurrence were observed.


CONCLUSIONS
Radical neoplasm resection and immediate abdominal wall reconstruction are appropriate for patients with aggressive neoplasm in the lower abdominal wall.
Department of General Surgery, 1st Affiliated Hospital of PLA General Hospital, Beijing, China. feiyang304panyan@hotmail.com
Fei
F
Yang
D000008:Abdominal Neoplasms / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D058107:Abdominal Wound Closure Techniques; D000230:Adenocarcinoma / Q000473:pathology / Q000556:secondary / Q000601:surgery; D018223:Dermatofibrosarcoma / Q000473:pathology / Q000601:surgery; D005260:Female; D018222:Desmoid Tumors / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D011126:Polypropylenes; D012189:Retrospective Studies; D013524:Surgical Flaps; D013526:Surgical Mesh; D013530:Surgical Wound Infection
D011126:Polypropylenes