To investigate the feasibility, safety and operative effect of abdominal wall reconstruction for abdominal wall defect after surgical resection of adult abdominal desmoid tumor.

The clinical data of 34 patients with abdominal desmoid tumor who received operative treatment in Department of Hernia and Abdominal Wall Surgery, the Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology from September 2013 to September 2019 were retrospectively analyzed. There were 3 males and 31 females, the average age was (42.6±10.3) years, ranging from 21 to 78 years. All patients received surgical resection of abdominal desmoid tumor and abdominal wall defect reconstruction.

All patients received operations successfully. The pathological diagnosis was desmoid tumor for 34 patients. The diameter of abdominal wall defect after surgical resection was (6.8±2.3) cm, ranging from 4 to 16 cm. There was no damage with bowel and other organs during operation. Four patients need analgesics for 3 days for postoperative pain treatment. Postoperative hospital stay ranged from 3 to 9 (4.8±1.2) days. After operation, there was no postoperative infection and blood loss during the first three days. All patients were followed up for 2 to 24 months. No abdominal hernia, tumor recurrence, chronic pain or mesh infection. There was one death within 2 years, and the cause of death was not related to abdominal desmoid tumor.

Adequately resection, careful dissection and separation technique, combined with the application of polypropylene mesh for patients with adult abdominal desmoid tumor is safe and effective.