title: Resection and repair of large abdominal wall lesions in gynecologic patients.
abstract: BACKGROUND
  The techniques of resection and repair of large lesions in the abdominal wall are very challenging in the area of gynecology. We explored the techniques of resection and plastic surgical repair of large abdominal wall lesions in gynecologic patients.
  
  
  METHODS
  Twenty-six patients with large lesions in the abdominal wall underwent resection by the gynecologists and repair through abdominal plasty and V-Y plasty with or without fascia patch grafting by the gynecologists or plastic surgeons from March 2003 to October 2010.
  
  
  RESULTS
  All patients had a history of cesarean section. One patient had an infected sinus tract after cesarean section, one patient had an inflammatory nodule, and the others had lesions of endometriosis, including one cancer. The average largest lesion diameter was (4.79 ± 4.18) cm according to the ultrasonography results. The lesions of all patients were completely resected with pretty abdominal contour. A polypropylene biological mesh was added to the fascia in 20 patients. One patient underwent groin flap repair, and one underwent V-Y advanced skin flap repair on the left of the incision to relieve the suture tension.
  
  
  CONCLUSIONS
  Multi-department cooperation involving the gynecology and plastic surgery departments, and even the general surgery department, is essential for patients with large lesions in the abdominal wall. This cooperative effort enabled surgeons to completely resect large lesions. Abdominal wall plastic surgical repair can ameliorate large wounds of the abdominal wall.
authors: Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Science, Beijing 100730, China. fangliushi@hotmail.com
authors: Zhu-feng
authors: ZF
authors: Liu
authors: Jin-hui
authors: JH
authors: Wang
authors: Bing-qian
authors: BQ
authors: Cui
authors: Qing-bo
authors: QB
authors: Fan
authors: Xiao-jun
authors: XJ
authors: Wang
authors: Ru
authors: R
authors: Zhao
authors: Ke-xin
authors: KX
authors: Song
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D004715:Endometriosis / Q000601:surgery; D005260:Female; D006801:Humans; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps; D013530:Surgical Wound Infection / Q000601:surgery