1 Jan 2015Article
Abdominal desmoid tumors A new reconstructive approach
Francesco Abbonante 1Diego Ribuffo 2Tiziana Vitagliano 3Maria Fiorillo 4Antonio Ciriaco 3Andrea Conversi 2Manfredi Greco 3
Affiliations
Article Info
1 U.O. of Plastic Surgery, Department of Surgery, Civil Hospital “Pugliese-Ciaccio”, Catanzaro, Italy
2 Unit of Plastic Surgery, Department of Surgery “P. Valdoni”, University of Rome “Sapienza”, Rome, Italy
3 Department of Clinical and Experimental Medicine, University “Magna Graecia” of Catanzaro Italy
4 Resident in U.O. of Plastic and Reconstructive Surgery, Department of Clinical and Experimental Medicine, University “Magna Graecia” of Catanzaro, Italy
Ann. Ital. Chir., 2015, 86(1), 78-84;
Published: 1 Jan 2015
Copyright © 2015 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
INTRODUCTION: 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. Level of evidence: IV.
Keywords
- Abdominal tumors
- Abdominal wall reconstruction
- Desmoid tumors
- Mesh