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01-04-2021 | Seroma | Original Article

Retrospective analysis of defect reconstruction after abdominal wall tumor resection in 30 patients

Authors: X. Zhao, Z. Cao, Y. Nie, J. Liu, X. Yuan, J. Chen, Y. Shen

Published in: Hernia | Issue 2/2021

Abstract

Purpose

It is difficult to manage the full-thickness defect that is created by radical resection of an abdominal wall tumor. This report aimed to review our institutional experience with immediate reconstruction using mesh reinforcement after abdominal wall tumor resection.

Methods

We retrospectively examined patients who underwent abdominal wall tumor resection with immediate mesh-reinforced reconstruction between April 2014 and November 2018. The patients’ records were reviewed to collect data regarding their demographic characteristics, surgical procedures, and complications.

Results

We identified 30 eligible patients, including 5 who underwent simultaneous resection of affected intra-abdominal organs or tissues. The median size of the resulting abdominal wall defect was 60 cm² (interquartile range: 32–127.5 cm²) and the median mesh size was 150 cm² (interquartile range: 150–225 cm²). The median operative time was 85 min (interquartile range: 60–133.8 min), the mean hospital stay was 19.4 ± 9.0 days, and the mean follow-up period was 28.6 ± 16.0 months. The complications included seroma (n = 4), infection (n = 2), massive hematoma (n = 1), and abnormal sensation (n = 3). Tumor recurrence was observed in two patients, and three patients died because of cancer progression. No patient developed a ventral hernia or abdominal bulging.

Conclusion

Immediate mesh-reinforced reconstruction is feasible and effective for patients who require abdominal wall tumor resection.

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Title: Retrospective analysis of defect reconstruction after abdominal wall tumor resection in 30 patients
Authors: X. Zhao
Z. Cao
Y. Nie
J. Liu
X. Yuan
J. Chen
Y. Shen
Publication date: 01-04-2021
Publisher: Springer Paris
Keyword: Seroma
Published in: Hernia / Issue 2/2021
Print ISSN: 1265-4906
Electronic ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-020-02219-1

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Retrospective analysis of defect reconstruction after abdominal wall tumor resection in 30 patients

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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