{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T13:35:04Z","timestamp":1778679304823,"version":"3.51.4"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T00:00:00Z","timestamp":1778630400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Updates Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Massive abdominal wall defects resulting from radical abdominal wall endometriosis (AWE) resection present a major reconstructive challenge. This study aims to assess feasibility and short-term safety of a standardized retromuscular-onlay dual-mesh repair technique in this setting. In this single-center retrospective study, 9 patients with massive abdominal wall endometriosis underwent radical excision and standardized retromuscular-onlay dual-mesh reconstruction between January 2024 and June 2025. A series of postoperative complications was analyzed, including surgical site infection, symptomatic seroma, hematoma, wound pain and numbness, mesh infection, incisional hernia, and recurrence of abdominal wall endometriosis. All nine patients, with a history of cesarean delivery, were diagnosed with type III AWE. Clinical presentation uniformly featured a palpable abdominal wall mass and pain accompanying the menstrual cycle. Previous surgical intervention for AWE had been undertaken in 22.2% (2\/9) of patients. All reconstructive procedures were successfully performed. We recorded a mean specimen diameter of 9.61\u2009\u00b1\u20092.56\u00a0cm, an operative time of 114.00\u2009\u00b1\u200941.81\u00a0min, and an estimated blood loss of 15.70\u2009\u00b1\u200911.61 mL. The mean postoperative hospital stay was 8.50\u2009\u00b1\u20092.72 days, and drains were maintained for a mean of 5.00\u2009\u00b1\u20091.05 days. In this small cohort study, no surgical site infections, mesh infections, hematomas, or symptomatic seromas requiring intervention occurred. At a mean follow-up of 6 months, no clinical recurrence of AWE or incisional hernia was observed. Only one patient (11.1%) reported a slight numbness in the skin of the surgical area. This standardized dual-mesh reconstruction technique appears feasibility and short-term safety for massive AWE-related abdominal wall defects, with encouraging short-term outcomes and low early complication rates in this initial experience. Longer-term follow-up and prospective multi-center studies are needed to confirm durability.<\/jats:p>","DOI":"10.1007\/s13304-026-02673-z","type":"journal-article","created":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T12:55:58Z","timestamp":1778676958000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Safety and efficacy of retromuscular-onlay dual-mesh reconstruction for massive abdominal wall defects secondary to abdominal wall endometriosis resection"],"prefix":"10.1007","author":[{"given":"Dongbing","family":"Ding","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Han","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rongpu","family":"Liang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiarong","family":"You","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingjian","family":"Ye","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bo","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2026,5,13]]},"reference":[{"issue":"2","key":"2673_CR1","doi-asserted-by":"publisher","first-page":"369","DOI":"10.1016\/j.ogc.2022.02.013","volume":"49","author":"CE Foley","year":"2022","unstructured":"Foley CE, Ayers PG, Lee TT (2022) Abdominal Wall Endometriosis. Obstet Gynecol Clin North Am 49(2):369\u2013380","journal-title":"Obstet Gynecol Clin North Am"},{"issue":"2","key":"2673_CR2","doi-asserted-by":"publisher","first-page":"530","DOI":"10.1002\/ijgo.14167","volume":"159","author":"C Benedetto","year":"2022","unstructured":"Benedetto C, Cacozza D, de Sousa Costa D, Coloma Cruz A, Tessmann Zomer M, Cosma S, Trippia CH, Santos Cavalcanti TC, Alves Castro GR, Kondo W (2022) Abdominal wall endometriosis: report of 83 cases. Int J Gynaecol Obstet 159(2):530\u2013536","journal-title":"Int J Gynaecol Obstet"},{"issue":"4","key":"2673_CR3","doi-asserted-by":"publisher","first-page":"536","DOI":"10.7150\/ijms.38679","volume":"17","author":"M Carsote","year":"2020","unstructured":"Carsote M, Terzea DC, Valea A, Gheorghisan-Galateanu AA (2020) Abdominal wall endometriosis (a narrative review). Int J Med Sci 17(4):536\u2013542","journal-title":"Int J Med Sci"},{"issue":"1","key":"2673_CR4","doi-asserted-by":"publisher","first-page":"250","DOI":"10.1007\/s10029-025-03425-5","volume":"29","author":"P Ngo","year":"2025","unstructured":"Ngo P, Cossa JP, Blum D, Gillion JF, P\u00e9lissier E (2025) Minimally invasive Rives-Stoppa (MIRS) technique: a technique of retromuscular repair of ventral hernias preserving the posterior rectus sheath. Hernia 29(1):250","journal-title":"Hernia"},{"issue":"6","key":"2673_CR5","doi-asserted-by":"publisher","first-page":"951","DOI":"10.1016\/j.suc.2021.05.027","volume":"101","author":"MA Fuglestad","year":"2021","unstructured":"Fuglestad MA, Tracey EL, Leinicke JA (2021) Evidence-based prevention of surgical site infection. Surg Clin North Am 101(6):951\u2013966","journal-title":"Surg Clin North Am"},{"key":"2673_CR6","doi-asserted-by":"crossref","unstructured":"Polom J, Kalinowski L, Diana M, Chand M, Caballero C, Sawicki S, Polom K (2021) Comprehensive review of fluorescence applications in gynecology. J Clin Med 10(19)","DOI":"10.3390\/jcm10194387"},{"issue":"6","key":"2673_CR7","doi-asserted-by":"publisher","first-page":"560","DOI":"10.1272\/jnms.JNMS.2024_91-604","volume":"91","author":"T Shiraishi","year":"2024","unstructured":"Shiraishi T, Toyoshima M, Sugawara M, Matsushima T, Ichikawa M, Negishi Y, Akira S, Suzuki S (2024) Post-cesarean section abdominal wall endometriosis requiring surgical treatment: a case series. J Nippon Med Sch 91(6):560\u2013566","journal-title":"J Nippon Med Sch"},{"issue":"10","key":"2673_CR8","doi-asserted-by":"publisher","first-page":"e2303506","DOI":"10.1002\/adhm.202303506","volume":"13","author":"K Liang","year":"2024","unstructured":"Liang K, Ding C, Li J, Yao X, Yu J, Wu H, Chen L, Zhang M (2024) A review of advanced abdominal wall hernia patch materials. Adv Healthc Mater 13(10):e2303506","journal-title":"Adv Healthc Mater"},{"issue":"20","key":"2673_CR9","doi-asserted-by":"publisher","first-page":"25686","DOI":"10.1021\/acsami.4c02151","volume":"16","author":"R Ding","year":"2024","unstructured":"Ding R, Yu L, Peng P, Zhang J, Xu H, Li H, Wu H, Yan L, Li P (2024) Durable and robust antibacterial polypropylene hernia mesh for abdominal wall defect repair. ACS Appl Mater Interfaces 16(20):25686\u201325697","journal-title":"ACS Appl Mater Interfaces"},{"issue":"12","key":"2673_CR10","doi-asserted-by":"publisher","first-page":"1239","DOI":"10.1093\/bjs\/znac302","volume":"109","author":"EB Deerenberg","year":"2022","unstructured":"Deerenberg EB, Henriksen NA, Antoniou GA, Antoniou SA, Bramer WM, Fischer JP, Fortelny RH, G\u00f6k H, Harris HW, Hope W et al (2022) Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies. Br J Surg 109(12):1239\u20131250","journal-title":"Br J Surg"},{"issue":"1","key":"2673_CR11","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1097\/SLA.0000000000005422","volume":"276","author":"F Hartog","year":"2022","unstructured":"Hartog F, Sneiders D, Darwish EF, Yurtkap Y, Menon AG, Muysoms FE, Kleinrensink GJ, Bouvy ND, Jeekel J, Lange JF (2022) Favorable Outcomes after retro-rectus (rives-stoppa) mesh repair as treatment for noncomplex ventral abdominal wall hernia, a systematic review and meta-analysis. Ann Surg 276(1):55\u201365","journal-title":"Ann Surg"},{"issue":"1","key":"2673_CR12","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1007\/s00464-019-07156-4","volume":"34","author":"A Balla","year":"2020","unstructured":"Balla A, Alarc\u00f3n I, Morales-Conde S (2020) Minimally invasive component separation technique for large ventral hernia: Which is the best choice? A systematic literature review. Surg Endosc 34(1):14\u201330","journal-title":"Surg Endosc"},{"issue":"4","key":"2673_CR13","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1016\/j.amjsurg.2017.07.032","volume":"215","author":"B Cornette","year":"2018","unstructured":"Cornette B, De Bacquer D, Berrevoet F (2018) Component separation technique for giant incisional hernia: a systematic review. Am J Surg 215(4):719\u2013726","journal-title":"Am J Surg"},{"key":"2673_CR14","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s13017-018-0167-4","volume":"13","author":"F Coccolini","year":"2018","unstructured":"Coccolini F, Roberts D, Ansaloni L, Ivatury R, Gamberini E, Kluger Y, Moore EE, Coimbra R, Kirkpatrick AW, Pereira BM et al (2018) The open abdomen in trauma and non-trauma patients: WSES guidelines. World J Emerg Surg 13:7","journal-title":"World J Emerg Surg"},{"issue":"4","key":"2673_CR15","doi-asserted-by":"publisher","first-page":"e70199","DOI":"10.1111\/iwj.70199","volume":"22","author":"K Polomska","year":"2025","unstructured":"Polomska K, Kowalik J, Kobiela J, Spychalski P (2025) Effectiveness of open incision negative pressure wound therapy for surgical site infection prevention for abdominal surgery-a systematic review and meta-analysis. Int Wound J 22(4):e70199","journal-title":"Int Wound J"}],"container-title":["Updates in Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-026-02673-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s13304-026-02673-z","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s13304-026-02673-z.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T12:56:03Z","timestamp":1778676963000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s13304-026-02673-z"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,13]]},"references-count":15,"alternative-id":["2673"],"URL":"https:\/\/doi.org\/10.1007\/s13304-026-02673-z","relation":{},"ISSN":["2038-131X","2038-3312"],"issn-type":[{"value":"2038-131X","type":"print"},{"value":"2038-3312","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,5,13]]},"assertion":[{"value":"24 January 2026","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"8 April 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 May 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Institutional review board approval was obtained, and consent for participation was waived due to the retrospective nature of the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Written informed consent was obtained from all patients for the use of surgical videos, patients\u2019 baseline data and the publication of anonymous human body pictures.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interest"}}]}}