Retrospective study on sublay abdominal wall reconstruction following radical resection of abdominal wall desmoid-type fibromatosis

doi:10.3877/cma.j.issn.1674-392X.2025.04.008

Abstract

Abstract:

Objective

To evaluate the clinical efficacy and feasibility of abdominal wall reconstruction using the Sublay technique following radical resection of abdominal desmoid-type fibromatosis.

Methods

We conducted a retrospective analysis on the clinical data of 78 patients who underwent radical resection for abdominal wall desmoid-type fibromatosis followed by Sublay mesh reconstruction at West China Hospital, Sichuan University between June 2012 and June 2023. Demographics, surgical parameters, hospitalization duration were analyzed, and postoperative outcomes (including recurrence, incisional hernia formation, and seroma development) of patients were followed up and recorded.

Results

All patients successfully completed the Sublay abdominal wall mesh reconstruction. Intraoperative findings revealed that the average tumor size was (7.56±2.58) cm×(5.54±1.99) cm, and the post-resection abdominal wall defects averaged (13.61±2.25) cm×(11.46±1.42) cm. Postoperative hospitalization averaged (7.70±2.90) days (range 3-38 days). Postoperative complications included hematoma (1 case) and tumor recurrence (1 case). During the 2-year follow-up period, no cases of incisional hernia were observed.

Conclusion

The Sublay technique demonstrates safety and efficacy for abdominal wall large defect reconstruction following radical resection of abdominal wall desmoid-type fibromatosis.

Key words: Abdominal wall reconstruction, Desmoid-type fibromatosis, Radical resection, Retrospective study

Junting Li, Shiwei Yang, Zhangchi Yi, Chenye Li, Jiaqi Zhou, He Liang, Yufei Mao, Yong Wang. Retrospective study on sublay abdominal wall reconstruction following radical resection of abdominal wall desmoid-type fibromatosis[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2025, 19(04): 407-411.

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