Background: Prosthetic repair is always employed after large abdominal wall tumor resection, while chronic pain is one of the mesh-related complications after traumatic fixation. The objective of this research was to evaluate the outcomes of retromuscular repair with self-gripping mesh after abdominal wall tumor resection.
Methods: The study was a monocentric retrospective analysis following STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) statements of all patients with abdominal wall tumor >5 cm in diameter undergoing tumor excision and retromuscular repair with self-gripping mesh. Demographic, operative, early postoperative, and follow-up data were noted. Visual Analog Scale, ranging from 0 (no pain) to 10 (very severe pain), was used to estimate the wound pain.
Results: 24 patients were included in this study, and the defect following tumor resection was 26.9±10.0 cm2. There was no tumor recurrence or incisional hernia in median follow-up of 20 months, and the mean VAS score was 0.4. Three had foreign body feeling and no one suffered chronic pain.
Conclusions: Immediate repair with a self-gripping retromuscular mesh can be considered as an effective way to treat an abdominal wall defect after resecting an abdominal wall tumor.
TangRGuYGongDQQianYL. Immediate repair of major abdominal wall defect after extensive tumor excision in patients with abdominal wall neoplasm: a retrospective review of 27 cases [corrected]. Ann Surg Oncol. 2009;16:2895-2907.
2.
StojadinovicAHoosAKarpoffHMLeungDHAntonescuCRBrennanMF, Soft tissue tumors of the abdominal wall: analysis of disease patterns and treatment. Arch Surg.2001;136:70-79.
3.
WangDChenJChenYHanYZhangH. Prospective analysis of epigastric, umbilical, and small incisional hernia repair using the modified kugel oval patch. Am Surg. 2018;84:305-308.
4.
de Vries ReilinghTSvan GoorHCharbonJA, et al.Repair of giant midline abdominal wall hernias: “Components separation technique” versus prosthetic repair: Interim analysis of a randomized controlled trial. World J Surg. 2007;31:756-763.
5.
RosenMJ. Polyester-based mesh for ventral hernia repair: is it safe?Am J Surg. 2009;197:353-359.
6.
MolegraafMKaufmannRLangeJ. Comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair: A meta-analysis of long-term results. Surgery. 2018;163:351-360.
7.
WangDZhangHLeiT, et al.Randomized Trial Comparing Self-Gripping Mesh with Polypropylene Mesh in Female Lichtenstein Hernioplasty. Am Surg. 2020;86:110-115.
8.
HollinskyCKolbeTWalterI, et al.Comparison of a new self-gripping mesh with other fixation methods for laparoscopic hernia repair in a rat model. J Am Coll Surg. 2009;208:1107-1114.
9.
DeerenbergEBHarlaarJJSteyerbergEW, et al.Small bites versus large bites for closure of abdominal midline incisions (STITCH): A double-blind, multicentre, randomised controlled trial. Lancet. 2015;386:1254-1260.
10.
LehnertTMethnerMPollokASchaibleAHinzUHerfarthC. Multivisceral resection for locally advanced primary colon and rectal cancer: an analysis of prognostic factors in 201 patients. Ann Surg. 2002;235:217-225.
11.
PencavelTStraussDCThomasJMHayesAJ. The surgical management of soft tissue tumours arising in the abdominal wall. Eur J Surg Oncol. 2010;36:489-495.
12.
BertaniEChiappaATestoriA, et al.Desmoid tumors of the anterior abdominal wall: results from a monocentric surgical experience and review of the literature. Ann Surg Oncol. 2009;16:1642-1649.
13.
BodinFDissauxCRomainBRohrSBrigandCBruant-RodierC. Complex abdominal wall defect reconstruction using a latissimus dorsi free flap with mesh after malignant tumor resection. Microsurgery. 2017;37:38-43.
14.
ZhangRWangCChenYZhengBShiY. The use of unilateral or bilateral external oblique myocutaneous flap in the reconstruction of lower abdominal wall or groin defects after malignant tumor resection. J Surg Oncol. 2014;110:930-934.
15.
YangF. Radical tumor excision and immediate abdominal wall reconstruction in patients with aggressive neoplasm compromised full-thickness lower abdominal wall. Am J Surg. 2013;205:15-21.
16.
YezhelyevMVDeigniOLoskenA. Management of full-thickness abdominal wall defects following tumor resection. Ann Plast Surg. 2012;69:186-191.
17.
KöckerlingFSimonTAdolfD, et al.Laparoscopic IPOM versus open sublay technique for elective incisional hernia repair: A registry-based, propensity score-matched comparison of 9907 patients. Surg Endosc. 2019;33:3361-3369.
18.
ErikssonARosenbergJBisgaardT. Surgical treatment for giant incisional hernia: A qualitative systematic review. Hernia. 2014;18:31-38.
19.
AuraTHabibEMekkaouiMBrassierDElhadadA. Laparoscopic tension-free repair of anterior abdominal wall incisional and ventral hernias with an intraperitoneal Gore-Tex mesh: Prospective study and review of the literature. J Laparoendosc Adv Surg Tech. 2002;12:263-267.
20.
VerhelstJde GoedeBKleinrensinkGJJeekelJLangeJFvan EeghemKHA. Open incisional hernia repair with a self-gripping retromuscular Parietex mesh: A retrospective cohort study. Int J Surg. 2015;13:184-188.
21.
PrivettBJGhusnM. Proposed technique for open repair of a small umbilical hernia and rectus divarication with self-gripping mesh. Hernia. 2016;20:527-530.
22.
LiJJiZLiY. The comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair: the results of meta-analysis. Ann Surg. 2014;259:1080-1085.
23.
ChastanP. Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia. 2009;13:137-142.
24.
HajighasemiMNocekBPTchigvintsevA, et al.Biochemical and structural insights into enzymatic depolymerization of polylactic acid and other polyesters by microbial carboxylesterases. Biomacromolecules. 2016;17:2027-2039.
25.
MolegraafMJGrotenhuisBTorensmaBde RidderVLangeJFSwankDJ. The HIPPO trial, a randomized double-blind trial comparing self-gripping parietex progrip mesh and sutured parietex mesh in lichtenstein hernioplasty: a long-term follow-up study. Ann Surg. 2017;266:939-945.
