Treatment of the postoperative abdominal defect of the abdominal desmoid type fibromatosis

Abstract

Objective To study the clinical effect of the postoperative abdominal wall reconstruction with synthetic mesh for abdominal desmoid type fibromatosis (DTF). Methods Clinical data of 11 patients with abdominal desmoid type fibromatosis during February 2012 to February 2016 in Beijing Chao-Yang Hospital were retrospectively collected. The abdominal wall of the patients who underwent tumor radical surgery were reconstructed with synthetic mesh. Results All the patients were successfully treated with synthetic mesh to reconstruct the abdominal wall. The mean operation time was 97±33 min, and the mean hospitalization was 19.2±3.1 days. All the patients recovered uneventfully. No wound infections and foreign body feelings were recorded in our study. Subcutaneous hydrops occurred in 1 patient who finally recovered uneventfully by puncture aspiration. During the follow-up time of 7-60 months (the median follow-up time was 31.8±18.5 months), there were no mortalities, and 1 patient suffered tumor recurrence. There were no mesh infections and mesh-related complications. No incisional hernias and intestinal obstructions were observed. Conclusion Abdominal wall reconstruction with synthetic mesh shows favorable clinical effect. Key words: abdominal desmoid type fibromatosis; abdominal reconstruction; synthetic mesh