title: Reconstruction of an abdominal wall defect with biologic mesh after resection of a desmoid tumor in a patient with a Gardner's syndrome.
abstract: BACKGROUND
  Desmoid tumors are rare proliferative and invasive benign lesions. They can be sporadic, but in most instances, desmoid tumors develop in the context of Gardner's syndrome with principal localization in the abdominal cavity and abdominal wall.
  
  
  METHODS
  We report the case of a 24-year-old female presenting Gardner's syndrome with a symptomatic abdominal wall desmoid tumor. Lack of response to medical treatment led to surgical management consisting in a complete resection and parietal reconstruction with a biologic mesh. Postoperative course was uneventful and there was no evidence of recurrence at 12 months of follow-up.
  
  
  CONCLUSIONS
  Conventional treatment of abdominal wall desmoid tumors consists in a wide and radical resection. However, complete resection is not always feasible because of difficulty to differentiate the desmoid tumor from adjacent tissues. The surgical approach may require different techniques to repair the parietal defect including prosthetic material such as synthetic or biologic meshes. Biological mesh is an ideal alternative to synthetic graft, mainly in case of infection.
  
  
  CONCLUSIONS
  We have encountered a case of a symptomatic growing desmoid tumor of the abdominal wall in a young patient with Gardner's syndrome, successfully treated by complete resection and reconstruction with a biologic mesh to correct the parietal defect.
authors.affiliation: a Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.|b Department of Plastic Surgery , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Hammer
authors.affiliation: a Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Daniel
authors.initials: D
authors.lastname: Léonard
authors.affiliation: b Department of Plastic Surgery , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: François
authors.initials: F
authors.lastname: Chateau
authors.affiliation: a Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Nora
authors.initials: N
authors.lastname: Abbes Orabi
authors.affiliation: c Starzl Unit of Abdominal Transplantation and General Surgery, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Olga
authors.initials: O
authors.lastname: Ciccarelli
authors.affiliation: a Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Radu
authors.initials: R
authors.lastname: Bachmann
authors.affiliation: a Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Christophe
authors.initials: C
authors.lastname: Remue
authors.affiliation: b Department of Plastic Surgery , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Benoît
authors.initials: B
authors.lastname: Lengelé
authors.affiliation: a Colorectal Surgery Unit, Department of Abdominal Surgery and Transplantation , Cliniques universitaires Saint-Luc , Brussels , Belgium.
authors.forename: Alex
authors.initials: A
authors.lastname: Kartheuser
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D005260:Female; D018221:Fibromatosis, Abdominal / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005736:Gardner Syndrome / Q000150:complications* / Q000601:surgery; D006801:Humans; D013526:Surgical Mesh; D055815:Young Adult
keywords: Abdominal wall reconstruction; Gardner’s syndrome; biologic mesh; desmoid tumor; familial adenomatous polyposis