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Abdominal wall mass in a pregnant woman.

Abdominal fibromatosis should be considered in female patients of childbearing age who present with a mass arising from the abdominal musculature, particularly if the mass becomes evident during or immediately after gestation. Magnetic resonance imaging, with its multiplanar imaging capabilities, is useful in characterizing soft tissue tumors and in defining the extent of tumor involvement of adjacent structures.

Abdominal Muscles↗

[Pneumoperitoneum and Mersilene mesh in the treatment of giant abdominal wall hernias].

Fourteen patients with giant abdominal hernias were treated at our institution from 1985-1989. In all cases the hernial orifice was at least 20 x 20 cm, and the hernia had at least a size of a child's head. In 11 cases a progressive preoperative pneumoperitoneum of 10-14 liters over 14-21 days was performed. This procedure was initially done in hospital and then on an outpatient basis. In 13 patients the hernia was repaired using a retromuscular/preperitoneal Mersilen-mesh fixed subcutaneously. In one patient the hernia could be repaired with a Mayo type repair after preparation with a pneumoperitoneum. Postoperative problems were minimal, and no recurrence has so far been observed after a follow-up period of 5 to 44 months. By the combination of preoperative pneumoperitoneum and a retromuscular Mersilen-mesh even giant abdominal hernias in polymorbid patients can be repaired.

Abdominal Muscles↗