Resection and repair of large abdominal wall lesions in gynecologic patients

Liu ZF, Zhufeng Liu, Zhu-Feng Liu, Wang JH, Jin-hui Wang, Jinhui Wang, Bing-qian Cui, Cui BQ, Qing-bo Fan, Qingbo Fan, Fan QB, Xiao-Jun Wang, Xiaojun Wang, Wang XJ, Ru Zhao, Zhao R, Song KX, Ke-Xin Song, Kexin Song
Chinese medical journal · 2013 · vol. 126(9) , pp. 1673–1677 · doi:10.3760/cma.j.issn.0366-6999.20121482 · PMID:23652049 · W2411397030
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Gynecologic patients with large abdominal wall lesions, mostly endometriosis after cesarean section, underwent complete resection and plastic surgical repair with or without mesh grafting, achieving good cosmetic outcomes.

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Abstract

BACKGROUND: The techniques of resection and repair of large lesions in the abdominal wall are very challenging in the area of gynecology. We explored the techniques of resection and plastic surgical repair of large abdominal wall lesions in gynecologic patients. METHODS: Twenty-six patients with large lesions in the abdominal wall underwent resection by the gynecologists and repair through abdominal plasty and V-Y plasty with or without fascia patch grafting by the gynecologists or plastic surgeons from March 2003 to October 2010. RESULTS: All patients had a history of cesarean section. One patient had an infected sinus tract after cesarean section, one patient had an inflammatory nodule, and the others had lesions of endometriosis, including one cancer. The average largest lesion diameter was (4.79 ± 4.18) cm according to the ultrasonography results. The lesions of all patients were completely resected with pretty abdominal contour. A polypropylene biological mesh was added to the fascia in 20 patients. One patient underwent groin flap repair, and one underwent V-Y advanced skin flap repair on the left of the incision to relieve the suture tension. CONCLUSIONS: Multi-department cooperation involving the gynecology and plastic surgery departments, and even the general surgery department, is essential for patients with large lesions in the abdominal wall. This cooperative effort enabled surgeons to completely resect large lesions. Abdominal wall plastic surgical repair can ameliorate large wounds of the abdominal wall.

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Condition tags

endometriosis

MeSH descriptors

Abdominal Wall Plastic Surgery Procedures Abdominal Wall Adult Endometriosis Endometriosis Female Humans Surgical Flaps Surgical Wound Infection Surgical Wound Infection

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