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A New Approach to Massive Abdominal Tumors Using Immediate Abdominal Wall Reconstruction

Matory, W. Earle Jr. M.D.; Pretorius, R. Gerald M.D.; Hunter, Richard E. M.D.; Gonzalez, Federico M.D.
Plastic and Reconstructive Surgery: September 1989
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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.

©1989American Society of Plastic Surgeons