title: Abdominal wall desmoid tumors: A proposal for US-guided resection.
abstract: BACKGROUND
  Desmoid tumors (DTs) is a benign tumor with high tendency to infiltrative evolution and recurrence. Nowadays, in abdominal localization, the standard approach is surgery with R0 condition. The need to repair post-surgical wide wall defect requires conservative technique to decrease the incidence of incisional hernia and to obtain better quality of life (QoL).
  
  
  METHODS
  We perform an abdominal wall desmoid resection using ultrasound guide. This technique ensures to spare a wide wall area and to obtain a multilayer reconstruction minimizing postoperative risk. This approach allows good oncological results and better managing abdominal wall post-resection defect.
  
  
  RESULTS
  We use US guided surgery to get radical approach and wall tissue spare that allows us a multilayer reconstruction minimizing post-operative complications. No recurrences were observed in one year follow up period.
  
  
  CONCLUSIONS
  Our experience represents first step to consider ultrasound mediated technique usefull to optimize wall resection surgery and to minimize following complications.
authors.affiliation: Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy. Electronic address: enbolz@yahoo.it.
authors.forename: Stefano
authors.initials: S
authors.lastname: Bolzon
authors.affiliation: Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
authors.forename: Alessio
authors.initials: A
authors.lastname: Vagliasindi
authors.affiliation: Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
authors.forename: Federico
authors.initials: F
authors.lastname: Zanzi
authors.affiliation: Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
authors.forename: Marco
authors.initials: M
authors.lastname: Negri
authors.affiliation: Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
authors.forename: Gian Piero
authors.initials: GP
authors.lastname: Guerrini
authors.affiliation: Department of General Surgery, Ferrara University, Arcispedale Sant'Anna, Via Aldo Moro 8, 44124 Cona, Ferrara, Italy.
authors.forename: Camilla
authors.initials: C
authors.lastname: Rossi
authors.affiliation: Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
authors.forename: Paolo
authors.initials: P
authors.lastname: Soliani
keywords: Abdominal wall; Desmoid tumor; Oncological safety; Tissue sparing; Ultrasound