PMC3347000_01
(a) The first CT of the patient before neoadjuvant chemotherapy. Thick arrows show the colonic mass, which invaded adjacent tissues including skin. (b) There was not enough mass regression after neoadjuvant therapy. (c) Excellent mesh adaptation at 6 months. Thin arrows highlight the mesh area.
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There were pericolonic, paraaortic, and paraceliac lymph nodes of 2.5 cm in maximum diameter (Figure 1(a)). Repeat CT demonstrated an inadequate response to chemotherapy (Figure 1(b)).
(a) Incisions were marked before surgery. (b) En-bloc resection material after extended right hemicolectomy. (c) Mesh applied to cover the abdominal wall defect, external view. (d) The mesh was secured with interrupted polypropylene sutures from inside. (e) The surgery has been completed and the skin closed. (f) Late postoperative view of the abdomen.
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The mass and possible intraabdominal margins were marked before the operation (Figure 2(a)). En bloc resection of the lesion was achieved (Figure 2(b)). Mansfield, Massachusetts, US). Mesh fixation was performed with 2/0 prolen separate sutures on the inside of safe abdominal wall (Figures 2(c) and 2(d)). One was placed on the right lower quadrant, over the mesh in the reconstructed abdominal wall defect area, and the other one was placed on the left symmetrical location in the peritoneal cavity (Figure 2(e)). We observed excellent mesh adaptation with physical and CT examination at six months postoperatively (Figures 2(f) and 1(c)).