title: Abdominal desmoid tumors. A new reconstructive approach.
abstract: BACKGROUND
  Desmoid tumors are rare soft tissue tumors derived from musculoaponeurotic structures of the abdominal wall musculature. Although they are considered benign tumors because they don't metastasize to other parts of the body, they are clinically considered as malignant for their high tendency on infiltrative growth with local invasion and trend to recurrence after local excision. Several reconstructive techniques are proposed in the literature.
  
  
  METHODS
  Nine female patients with abdominal desmoid tumors underwent the removal of a mass of tissue running from the skin to peritoneum near the tumor with a safety margin in macroscopically normal tissue at least of 5 centimeters from the edge of the tumor. After wide excision, a polypropylene mesh was placed in the rear muscular pocket without anchoring suture (sliding mesh sutureless hernioplasty)
  
  
  RESULTS
  No patients had perioperative complications or abdominal wall weakness or an incisional hernia in the following 5 years.
  
  
  CONCLUSIONS
  We consider this technique of abdominal wall reconstruction after desmoid tumor removal a simple procedure that reduces relapsing events and recurrences of abdominal hernia, reducing tension and pain caused by the traditional suture repair technique.
  
  
  METHODS
  IV.
authors: Francesco
authors: F
authors: Abbonante
authors: Diego
authors: D
authors: Ribuffo
authors: Tiziana
authors: T
authors: Vitagliano
authors: Maria Antonia
authors: MA
authors: Fiorillo
authors: Antonio Greto
authors: AG
authors: Ciriaco
authors: Andrea
authors: A
authors: Conversi
authors: Manfredi
authors: M
authors: Greco
mesh_terms: D000008:Abdominal Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D005260:Female; D018222:Desmoid Tumors / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation / Q000379:methods; D006801:Humans; D000069290:Incisional Hernia / Q000517:prevention & control; D010537:Peritoneum / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D017568:Rectus Abdominis / Q000601:surgery; D012189:Retrospective Studies; D013526:Surgical Mesh