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Abdominal wall desmoid tumors: A proposal for US-guided resection
Stefano Bolzon1, Alessio Vagliasindi1, Federico Zanzi1
1Department of General and Urgent Surgery, "Santa Maria delle Croci" Hospital, Viale Randi 5, 48121 Ravenna, Italy.
Background:
Desmoid tumors (DTs) is a benign tumor with high tendency to infiltrative evolution and recurrence. Nowadays, in abdominal localization, the standard approach is surgery with R0 condition. The need to repair post-surgical wide wall defect requires conservative technique to decrease the incidence of incisional hernia and to obtain better quality of life (QoL).
Methods:
We perform an abdominal wall desmoid resection using ultrasound guide. This technique ensures to spare a wide wall area and to obtain a multilayer reconstruction minimizing postoperative risk. This approach allows good oncological results and better managing abdominal wall post-resection defect.
Results:
We use US guided surgery to get radical approach and wall tissue spare that allows us a multilayer reconstruction minimizing post-operative complications. No recurrences were observed in one year follow up period.
Conclusion:
Our experience represents first step to consider ultrasound mediated technique usefull to optimize wall resection surgery and to minimize following complications.
