A New Approach to Massive Abdominal Tumors Using Immediate Abdominal Wall Reconstruction
10
Citation
0
Reference
10
Related Paper
Citation Trend
Abstract:
Poor surgical exposure, ventral hernia formation, and aesthetic and hygienic deformity have been commonly noted following resection of massive abdominal tumors. In this series, nine patients underwent transverse abdominal panniculectomy, resection of attenuated rectus ab-dominis and oblique sheath and muscle, and removal of the mass. There was significant improvement in surgical exposure as well as diminished blood loss. The incidence of ventral herniorrhaphy and abdominal wall weakness was significantly less than previously quoted. Cosmesis was notably improved, and postoperative intertrigo was not seen. Rectus functional recovery was excellent within 2 to 4 months following surgery in all patients. Anesthetic and pulmonary complications were minimal. Anesthesia time was prolonged 2 lA to 4 hours but did not appear to increase the anesthetic or surgical risks. Transverse anterior abdominal wall resection and immediate reconstruction appear to be significant adjuncts to safe and expeditious resection of massive abdominal tumors along with resultant improved abdominal function and cosme-sis.Keywords:
Cosmesis
Abdominal cavity
Abdominal mass
Desmoid tumours are rare lesions which has a strong tendency to invade locally and to recur. They constitute 3% of all soft tissue tumours and 0.03% of all neoplasms. These tumours are commonly seen in women of fertile age, especially during and after pregnancy. We report a case of thirty year old female patient presenting with a painless mass in the anterior abdominal wall with past history of abdominal surgery 8 years back. Ultrasonography revealed a solid, heterogenous hypoechoic lesion within abdominal wall. On Fine needle aspiration cytology of the mass, spindle cell tumour suggestive of desmoid tumour was diagnosed. Wide local excision of the affected abdominal wall mass was performed and the defect was replaced with a polypropylene mesh. The specimen was sent for histopathological examination where cytological diagnosis was conrmed as desmoid tumour of anterior abdominal wall.
Abdominal mass
Histopathological examination
Anterior wall
Wide local excision
Abdominal ultrasonography
Cite
Citations (0)
Objective
To investigate the effect of combined application of multiple abdominal wall defect repair techniques in the treatment of complex abdominal wall defects caused by open abdominal cavity.
Methods
From January 2013 to January 2018, The clinical data of 9 cases of abdominal wall defect repair in patients with complex abdominal wall defects caused by abdominal cavity opening due to abdominal compartment syndrome or severe abdominal infection were summarized, and the treatment methods and clinical effects were analyzed.
Results
The operation time was (4.5±3.2) hours, and the postoperative hospital stay was (9.0±4.2) days. Of the 9 patients in this group, 7 patients had complete repair of abdominal wall defects, and the abdominal wall function recovered well. 2 patients had recurrent abdominal wall defects.
Conclusion
Combined application of multiple abdominal wall defect repair techniques can effectively repair complex abdominal wall defects caused by open abdominal cavity, which provides a feasible solution for this difficult clinical outcome.
Key words:
Abdominal compartment syndrome; Abdominal hypertension; Definite abdomen repair; Open abdomen; Abdominal wall defect
Abdominal Compartment Syndrome
Abdominal cavity
Abdominal wall defect
Cite
Citations (0)
Abdominal mass
Clear cell carcinoma
Cite
Citations (74)
Laparoscopic excision of a solitary fibrous tumor originating from the abdominal wall: a case report
ABSTRACT Solitary fibrous tumors (SFTs) are mesenchymal fibroblastic tumors, and forms of SFTs that originate from the abdominal wall are extremely rare. Here we report a case of a nonpalpable SFT along the abdominal wall. Abdominal magnetic resonance (MR) imaging showed a well-circumscribed mass measuring 5 cm in diameter with heterogeneous signal intensity on T2-weighted MR images; this mass was diagnosed as a benign abdominal tumor of unknown origin. Successful laparoscopic excision of the tumor was performed. Histological examination revealed a benign extrapleural SFT. No tumor recurrence was observed after 20-month follow-up. This is the first case of laparoscopic excision of an SFT originating from the abdominal wall. Our report highlights the safety and usefulness of laparoscopic excision of abdominal wall tumors such as SFTs. This approach is an underutilized surgical treatment that can be applied to select cases of SFT in the abdominal cavity.
Solitary Fibrous Tumor
Abdominal cavity
Abdominal mass
Cite
Citations (1)
The work is based on analysis of the results of the abdominal hernia (AH) and the anterior abdominal wall state investigation in 48 patients of the main group and in 20--of control one, using ultrasonographic examination (USE) and computer tomography (CT). The parameters of hernial localization, the hernial sac size and content, the hernial gates size and quantity, as well as the degenerative changes severity of the abdominal wall musculo-aponeurotic structures were investigated in the patients, suffering complex postoperative AH. Degenerative changes in the anterior abdominal wall musculo-aponeurotic structures, more pronounced in the patients older than 50 years, and also in the presence of large and giant AH, especially while their durable persistence, were revealed according to the USE and CT data obtained. In 2 (4%) patients the hernial sac localization was estimated incorrectly due to its migration into the subcutaneous layer. The clinical examination data discrepancies on the issue of hernial gates size in patients with large and giant postoperative AH were eliminated due to the CT data application. The index a relative hernial volume, which was calculated, using formula, containing hernial lump and abdominal cavity volumes, measured, according to the CT data, was applied for the hernioplasty method choice. The USE and CT data permit to reveal the hernia, even in its preclinical stage, and concurrent diseases of abdominal organs as well, securing to choose an optimal surgical tactics, thus promoting the lowering of postoperative complications and recurrences frequency.
Abdominal cavity
Abdominal Hernia
Ventral hernia
Abdominal wall defect
Abdominal computed tomography
Cite
Citations (0)
An analysis of clinical and US investigations of the abdominal wall in 210 patients with different surgical diseases of the abdominal cavity allowed division of the patients into three groups: without clinical and ultrasonic alterations, with a mild degree and with a severe degree of the anatomo-functional weakness of the abdominal wall. Indications for preventive endoprosthesis of the abdominal wall were determined using the method of quantitative evaluation of risk factors of postoperative hernias developed by the authors. Preventive endoprosthesis of the abdominal wall with a polypropylene endoprosthesis Esfil was fulfilled during operation on organs of the abdominal cavity in 11.9% of the patients by absolute indications. The number of postoperative hernias was reduced to 0.9%.
Abdominal cavity
Abdominal wall defect
Cite
Citations (0)
Abdominal wall mass is not uncommon in clinic, but it is very rare that germ cell tumors (GCTs) arise in the abdominal wall. The authors review the case of a 34-year-old female with abdominal wall mixed malignant GCT composed of embryonal carcinoma and teratoma and combine the relative literature to explain why GCTs originate from anterior abdominal wall.
Abdominal mass
Cite
Citations (0)
Abstract Abdominal wall endometriosis has an incidence of 0.3–1% of extrapelvic disease. Α 48-year-old female appeared in the emergency department with cellulitis in a lower midline incision. She had an endometrioma of the anterior abdominal wall removed 2 years ago. After 5 months, she underwent an open repair of an incisional hernia with a propylene mesh, which was unfortunately infected and removed 1 month later. Finally, in July 2019, she had her incisional hernia repaired with a biological mesh. Imaging modalities revealed a large mass below the umbilicus. Mass was punctured under ultrasound guidance. Cytology reported the recurrence of endometriosis. Pain and abdominal mass associating with menses were the two most typical symptoms. Wide local excision of the mass with at least 1 cm negative margins is the preferred treatment. Surgeons should maintain a high suspicion of the disease in reproductive women with circular pain, palpable abdominal mass and history of uterine-relating surgery.
Aponeurosis
Abdominal mass
Incisional Hernia
Rectus sheath
Rectus abdominis muscle
Seroma
Cite
Citations (5)
Actinomycosis of the anterior abdominal wall is rare. We report a 50-year-old diabetic man who presented with a left hypochondrial mass of three weeks duration associated with fever. Abdominal computed tomography showed a 2 x 4 cm mass projecting from the internal abdominal wall associated with surrounding inflammation. The mass did not decrease after a week of intravenous antibiotics. Excision of the mass and primary closure of the abdominal wall were performed. The mass involved the deep muscles of anterior abdominal wall. The omentum was adherent to the parietal peritoneum underneath the mass. Microscopical examination of the mass was consistent with actinomycosis. The postoperative period was uneventful and the patient recovered completely. The patient received penicillin for six months.
Actinomycosis
Abdominal mass
Anterior wall
Cite
Citations (23)