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 Feb 7;14(5):752-7. doi: 10.3748/wjg.14.752.

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.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Abdominal Wall / surgery*
  • Aged
  • Colonic Neoplasms / pathology
  • Extracellular Matrix
  • Female
  • Gallbladder Neoplasms / pathology
  • Humans
  • Male
  • Middle Aged
  • Omentum / surgery
  • Pilot Projects
  • Plastic Surgery Procedures / methods*
  • Rectal Neoplasms / pathology
  • Skin Neoplasms / secondary
  • Skin Neoplasms / surgery*
  • Skin, Artificial*
  • Surgical Flaps*