(P 521) HOW TO MANAGE ABDOMINAL PARIETECTOMY, REVIEW OF EXPERIENCE IN INSTITUT BERGONIE

Objective: Conjunctival tumors of the abdominal wall are rare, and usually require extensive surgical excision in conjunction with reconstruction.

Methods: We performed a retrospective analysis including all patients operated on for abdominal wall defect including the inguinal area over the period 2018-2023 at the Institut Bergonié.

Results: Different reconstructive procedures adapted to the defect were proposed and we recorded the postoperative follow-up, any complications and assessed their resumption of sporting activities and the need for girdle support at a distance from this reconstruction.
41 patients were included , 17 for cord sarcoma including 9 gracilis flaps. 12 required muscle excision, 11 with skin defects xx defects combining the 2. 22 flap were used which 9 gracilis, 3 DIEP, 2 ALT and 3 latissimus dorsi. We used two synthetic mesh and six biologic mesh.
We collected data on the rate of complications, re-operations, wound infections and return to sporting and/or professional activities, associated with the need or not to wear a support belt at the last consultation.

Conclusion: We propose a decisional algorithm based on the location of the excision zone and the nature of the defect.