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.

查看原文本刊更多论文

腹壁硬纤维瘤切除术后补片重建16例回顾性分析。

目的：腹壁硬纤维瘤切除术后的缺损处理是具有挑战性的，因为需要广泛的切除。本报告旨在回顾我们在腹壁硬纤维瘤切除术后网状强化重建的机构经验。方法：回顾性分析2014年4月至2019年1月间行腹壁硬纤维瘤切除术的患者。对患者记录进行分析，收集人口学特征、手术程序和并发症的数据。结果：确定了16例符合条件的患者，其中1例患者同时切除了受影响的腹内器官。腹壁缺损的平均尺寸为88.1±71.6 cm²，平均网孔尺寸为160.3±56.5 cm²。平均手术时间87.5±41.4 min，平均住院时间15.7±6.0 d，平均随访时间83.8±18.0个月。并发症包括血清肿（1例）和感觉异常（2例）。肿瘤复发1例，因肿瘤进展（肺癌）死亡。无手术部位感染或补片感染。此外，没有患者出现腹疝或腹部隆起。结论：网状强化重建是腹壁硬纤维瘤切除术可行、有效的方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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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.