Abdominal wall desmoid tumors: A proposal for US-guided resection

• We need to optimize tissue sparing for the best abdominal wall reconstruction.
• We need to obtain a oncological safe procedure.
• Using US technology to identify tumor edge.
• This kind of US guided surgery can improve abdominal wall surgical resection reducing tissue loss.

BackgroundDesmoid 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).MethodsWe 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.ResultsWe 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.ConclusionOur experience represents first step to consider ultrasound mediated technique usefull to optimize wall resection surgery and to minimize following complications.