Gray M W, Caleel R T, Sorg R J
Midwestern University-Chicago Osteopathic Medicine Centers, Ill., USA.
J Am Osteopath Assoc. 1996 Jan;96(1):48-53. doi: 10.7556/jaoa.1996.96.1.48.
Tumors of the abdominal wall excised with inadequately wide margins have a high local recurrence rate. The surgeon's fear of iatrogenic defects of the abdominal wall should not outweigh the need for wide resection margins to prevent tumor recurrence when excising primary and secondary malignancies. Appropriate monobloc excision of abdominal wall malignancies can be satisfactorily accomplished through a wide array of modalities. The authors describe successful abdominal wall reconstruction with the use of polypropylene mesh after excision of a recurrent soft tissue sarcoma. They review various methods of abdominal wall reconstruction to assist the surgeon in choosing the appropriate reconstruction technique.
切缘宽度不足的腹壁肿瘤局部复发率高。在切除原发性和继发性恶性肿瘤时，外科医生对腹壁医源性缺损的担忧不应超过为防止肿瘤复发而进行广泛切除边缘的需求。通过多种方式可以令人满意地完成腹壁恶性肿瘤的适当整块切除。作者描述了在复发性软组织肉瘤切除术后使用聚丙烯网片成功进行腹壁重建的情况。他们回顾了各种腹壁重建方法，以帮助外科医生选择合适的重建技术。
