Gu Y, Tang R, Gong DQ, Qian YL. Reconstruction of the abdominal wall by using a combination of the human acellular dermal matrix implant and an interpositional omentum flap after extensive tumor resection in patients with abdominal wall neoplasm: A preliminary result. World J Gastroenterol 2008; 14(5): 752-757 [PMID: 18205267 DOI: 10.3748/wjg.14.752]
Corresponding Author of This Article
Yan Gu, Department of General Surgery, Shanghai Ninth Hospital, School of Medicine, Shanghai Jiaotong University, 639 Zhizaoju Road, Shanghai 200011, China. yangu@shsmu.edu.cn
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Rapid Communication
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World J Gastroenterol. Feb 7, 2008; 14(5): 752-757 Published online Feb 7, 2008. doi: 10.3748/wjg.14.752
Reconstruction of the abdominal wall by using a combination of the human acellular dermal matrix implant and an interpositional omentum flap after extensive tumor resection in patients with abdominal wall neoplasm: A preliminary result
Yan Gu, Rui Tang, Ding-Quan Gong, Yun-Liang Qian
Yan Gu, Rui Tang, Ding-Quan Gong, Department of General Surgery, Shanghai Ninth Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200011, China
Yun-Liang Qian, Department of Plastic Surgery, Shanghai Ninth Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200011, China
Author contributions: Gu Y and Tang R contributed equally to this work; Gu Y, Gong DQ, Tang R and Qian YL designed and performed research; Gu Y and Tang R wrote the paper
Correspondence to: Yan Gu, Department of General Surgery, Shanghai Ninth Hospital, School of Medicine, Shanghai Jiaotong University, 639 Zhizaoju Road, Shanghai 200011, China. yangu@shsmu.edu.cn
Telephone: +86-21-63138341-5168
Fax: +86-21-63136856
Received: November 13, 2007 Revised: December 8, 2007 Published online: February 7, 2008
Abstract
AIM: To present our trial using a combination of the human acellular dermal matrix (HADM) implant and an interpositional omentum flap to repair giant abdominal wall defects after extensive tumor resection.
METHODS: Between February and October of 2007, three patients with giant defects of the abdominal wall after extensive tumor resection underwent reconstruction with a combination of HADM and omentum flap. Postoperative morbidities and signs of herniation were monitored.
RESULTS: The abdominal wall reconstruction was successful in these three patients, there was no severe morbidity and no signs of herniation in the follow-up period.
CONCLUSION: The combination of HADM and omentum flap offers a new, safe and effective alternative to traditional forms in the repair of giant abdominal wall defects. Further analysis of the long-term outcome and more cases are needed to assess the reliability of this technique.
