Mesh-reinforced reconstruction after abdominal wall desmoid tumor resection: a retrospective analysis of 16 cases.

IF 2.6 2区医学 Q1 SURGERY

Hernia Pub Date : 2025-03-12 DOI:10.1007/s10029-025-03307-w

Xuefei Zhao, Cuihong Jin, Xin Yuan, Yingmo Shen, Jie Chen

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引用次数: 0

Abstract

Purpose: Managing the defect after abdominal wall desmoid tumor resection is challenging due to the wide excision required. This report aims to review our institutional experience with mesh-reinforced reconstruction following desmoid tumor resection in the abdominal wall.

Methods: We retrospectively reviewed patients who underwent abdominal wall desmoid tumor resection with mesh-reinforced reconstruction between April 2014 and January 2019. Patient records were analyzed to collect data on demographic characteristics, surgical procedures, and complications.

Results: Sixteen eligible patients were identified, including one patient who underwent simultaneous resection of affected intra-abdominal organs. The mean size of the abdominal wall defect was 88.1 ± 71.6 cm², and the mean mesh size was 160.3 ± 56.5 cm². The mean operative time was 87.5 ± 41.4 min, the mean hospital stay was 15.7 ± 6.0 days, and the mean follow-up period was 83.8 ± 18.0 months. Complications included seroma (n = 1) and abnormal sensation (n = 2). Tumor recurrence was observed in 1 patient, who died due to cancer progression (lung cancer). No surgical site infections or mesh infections were observed. Additionally, no patients developed ventral hernias or abdominal bulging.

Conclusion: Mesh-reinforced reconstruction is a feasible and effective approach for patients requiring abdominal wall desmoid tumor resection.

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来源期刊

Hernia SURGERY-

CiteScore

4.90

自引率

26.10%

发文量

171

审稿时长

4-8 weeks

期刊介绍： Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery. Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.