Management of large or super large abdominal wall defect after extensive abdominal wall tumor resection

doi:10.3877/cma.j.issn.1674-392X.2019.06.004

Abstract

Abstract:

Abdominal wall tumors, especial malignant tumors, will lead to large or super large abdominal wall defects after tumor extensive resection. The choice of reasonable abdominal wall repair and reconstruction techniques is the key to treatment. This paper summarized the clinical characteristics, current status of treatment, preoperative evaluation of abdominal wall defects after extensive resection of abdominal wall tumors and surgical strategy of repair and reconstruction techniques for abdominal wall defects. The importance of abdominal wall defect type, defect size, tissue around the defect and the patient's whole body to the choice of surgical procedure was emphasized.

Key words: Abdominal wall tumors, Abdominal wall invasion, Abdominal wall defect, Abdominal wall repair and reconstruction techniques

Jugang Wu, Jianjun Yang, Zhicheng Song, Yan Gu. Management of large or super large abdominal wall defect after extensive abdominal wall tumor resection[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(06): 500-502.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2019.06.004

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2019/V13/I06/500

References 18

[1]	Slater NJ, Montgomery A, Berrevoet F, et al. Criteria for definition of a complex abdominal wall hernia[J]. Hernia, 2014, 18(1): 7-17.
[2]	中华医学会外科学分会疝与腹壁外科学组, 中国医师协会外科医师分会疝和腹壁外科医师委员会. 腹壁切口疝诊断和治疗指南(2018年版)[J/CD]. 中华疝和腹壁外科杂志(电子版), 2018, 12(4): 241-243.
[3]	Sabbah M, Bibani N, Gargouri D, et al. Cutaneous metastasis of a ring cell gastric adenocarcinoma[J]. Tunis Med, 2015, 93: (8/9): 497-499.
[4]	Nesseris I, Tsamakis C, Gregoriou S, et al. Cutaneous metastasis of colon adenocarcinoma: case report and review of the literature[J]. An Bras Dermatol, 2013, 88(6 Suppl 1): 56-58.
[5]	Gu Y, Tang R, Gong DQ, et al. Reconstruction of the abdominal wall by using a combination of the human acellular dermal matrix implant and an interpositional omentum flap after extensive tumor resection in patients with abdominal wall neoplasm: a preliminary result[J]. World J Gastroenterol, 2008, 14(5): 752-757.
[6]	Tang R, Gu Y, Gong DQ, et al. Immediate repair of major abdominal wall defect after extensive tumor excision in patients with abdominal wall neoplasm: a retrospective review of 27 cases[J]. Ann Surg Oncol, 2009, 16(10): 2895-2907.
[7]	顾岩，刘正尼，汤睿. 重视腹壁肿瘤切除后的修复与重建[J/CD]. 中华疝和腹壁外科杂志(电子版), 2011, 5(1): 5-7.
[8]	Deerenberg EB, Timmermans L, Hogerzeil DP, et al. A systematic review of the surgical treatment of large incisional hernia[J]. Hemia, 2015, 19(1): 89-101.
[9]	Khansa I, Janis JE. Modern reconstructive techniques for abdominal wall defects after oncologic resection[J]. J Surg Oncol, 2015, 111(5): 587-598.
[10]	中华医学会外科学分会疝与腹壁外科学组, 中国医疗保健国际交流促进会临床实用技术分会腹壁修复与重建外科学组. 腹壁缺损修复与重建中国专家共识(2019版)[J]. 中国实用外科杂志, 2019, 39(2): 101-109.
[11]	LeBlanc K. Proper mesh overlap is a key determinant in hernia recurrence following laparoscopic ventral and incisional hernia repair[J]. Hernia, 2016, 20(1): 85-99.
[12]	Limura E, Giordano P. Biological implant for complex abdominal wall reconstruction: a single institution experience and review of literature[J]. World J Surg, 2017, 41(10): 2492-2501.
[13]	Roubaud MA, Baumann DP. Flap reconstruction of the abdominal wall[J]. Semin Plast Surg, 2018, 32(3): 133-140.
[14]	Song Z, Yang D, Yang J, et al. Abdominal wall reconstruction following resection of large abdominal aggressive neoplasms using tensor fascia lata flap with or without mesh reinforcement[J]. Hernia, 2018, 22(2): 333-341.
[15]	Majumder A, Miller HJ, Del Campo LM, et al. Assement of myofascial medicalization following posterior component separation via transversus abdominis muscle release in a cadaveric model[J]. Hernia, 2018, 22(4): 637-644.
[16]	Breuing K, Butler CE, Ferzoco S, et al. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair[J]. Surgery, 2010, 148(3): 544-558.
[17]	Kanters AE, Krpata DM, Blatnik JA, et al. Modified hernia grading scale to stratify surgical site occurrence after open ventral hernia repairs[J]. J Am Coll Surg, 2012, 215(6): 787-793.
[18]	Martin-del-Campo LA, Miller HJ, Eliott HL, et al. Laparoscopic ventral hernia repair with and without defect closure: comparative analysis of a single-institution experience with 783 patients[J]. Hernia, 2018, 22(6): 1061-1065.

Please choose a citation manager

Content to export