{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:59:31Z","timestamp":1785131971838,"version":"3.55.0"},"reference-count":9,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T00:00:00Z","timestamp":1785110400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontierspartnerships.org"],"crossmark-restriction":true},"short-container-title":["J. Abdom. Wall Surg."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Appropriate reconstruction following radical resection of sarcomas in the inguinofemoral region and the pelvis is essential to prevent the subsequent development of an incisional hernia. Simple soft-tissue coverage may not suffice, as resection often involves the removal of the flat muscles and the inguinal ligament. We propose a technique of extraperitoneal mesh placement to reconstruct the myopectineal orifice (MPO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this paper, we present a technique of extraperitoneal mesh reconstruction of the myopectineal region and inguinal ligament following radical resection for inguinofemoral tumours. The short-term surgical outcome, long-term oncological outcomes, and the development of an incisional hernia were also retrospectively reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 13 patients were included in the study from May 2017 to February 2025. In 11\/13 patients, primary closure of the soft tissue defect was possible. In two patients, a local rotational flap was required for soft tissue coverage. In 11\/13 patients, a polypropylene mesh was used. In two patients, a titanium-coated polypropylene mesh was used. For all patients, the mesh was placed in the extra-peritoneal plane. Regarding short-term complications, 4 patients developed a surgical site infection, and 2 developed a seroma. In terms of long term outcomes, only one patient was confirmed to have developed an incisional hernia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This technique offers a simple, safe, cost-effective, and reproducible method for reconstructing the myopectineal orifice in patients undergoing radical resection of soft tissue tumors involving the inguinofemoral region, with the sacrifice of the inguinal ligament.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/jaws.2026.16648","type":"journal-article","created":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:10:14Z","timestamp":1785129014000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Mesh reconstruction of the myopectineal region following wide local excision for inguinofemoral tumors"],"prefix":"10.3389","volume":"5","author":[{"given":"Paul Yohan","family":"George","sequence":"first","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul Trinity","family":"Stephen","sequence":"additional","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. K.","family":"Titus","sequence":"additional","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beulah","family":"Roopavathana","sequence":"additional","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitin Paul","family":"Ambrose","sequence":"additional","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prakash","family":"Joseph","sequence":"additional","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suchita","family":"Chase","sequence":"additional","affiliation":[{"name":"Surgery Unit 4 (Sarcoma and Abdominal Wall Reconstruction Unit), Christian Medical College and Hospital","place":["Vellore, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,27]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"586","DOI":"10.1097\/00000658-200010000-00014","article-title":"Complex abdominal wall reconstruction: a comparison of flap and mesh closure","volume":"232","author":"Mathes","year":"2000","journal-title":"Ann Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"355","DOI":"10.4103\/0970-1591.29125","article-title":"Groin reconstruction after inguinal block dissection","volume":"22","author":"Gupta","year":"2006","journal-title":"Indian J Urol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1","DOI":"10.21873\/invivo.11431","article-title":"Reconstructive surgery of inguinal defects: a systematic literature review of surgical etiology and reconstructive technique","volume":"33","author":"S\u00f6relius","year":"2019","journal-title":"Vivo Athens Greece"},{"key":"B4","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1007\/s10029-023-02763-6","article-title":"Biosynthetic meshes in contaminated fields: where are we now? A systematic review and meta-analysis in humans","volume":"27","author":"Perrone","year":"2023","journal-title":"Hernia"},{"key":"B5","doi-asserted-by":"publisher","first-page":"1051","DOI":"10.1007\/s10029-020-02366-5","article-title":"Slowly absorbable mesh in contaminated incisional hernia repair: results of a French multicenter study","volume":"25","author":"Charleux-Muller","year":"2021","journal-title":"Hernia"},{"key":"B6","doi-asserted-by":"publisher","first-page":"785","DOI":"10.1016\/j.ijscr.2013.04.003","article-title":"Autologous reconstruction of the inguinal ligament using pedicled fascia lata flap: a new technique","volume":"4","author":"Bott","year":"2013","journal-title":"Int J Surg Case Rep"},{"key":"B7","doi-asserted-by":"publisher","first-page":"1005","DOI":"10.1007\/s10029-014-1254-4","article-title":"Mesh reconstruction of the inguinal ligament with bone anchors following radical oncologic excision: a case series","volume":"19","author":"Offodile","year":"2015","journal-title":"Hernia J Hernias Abdom Wall Surg"},{"key":"B8","doi-asserted-by":"publisher","first-page":"109229","DOI":"10.1016\/j.ejso.2024.109229","article-title":"A new surgical technique for the reconstruction of inguinal \u201cneoligament\u201d after soft tissue sarcoma resection","volume":"50","author":"Sam\u00e0","year":"2024","journal-title":"Eur J Surg Oncol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"261","DOI":"10.1007\/s10029-023-02829-5","article-title":"How I do it: using a hammock mesh in the reconstruction of inguinal ligament during a wide en-bloc resection of a groin mesenchymal tumor","volume":"28","author":"Louis","year":"2024","journal-title":"Hernia J Hernias Abdom Wall Surg"}],"container-title":["Journal of Abdominal Wall Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontierspartnerships.org\/articles\/10.3389\/jaws.2026.16648\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T05:10:15Z","timestamp":1785129015000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontierspartnerships.org\/articles\/10.3389\/jaws.2026.16648\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,27]]},"references-count":9,"alternative-id":["10.3389\/jaws.2026.16648"],"URL":"https:\/\/doi.org\/10.3389\/jaws.2026.16648","relation":{},"ISSN":["2813-2092"],"issn-type":[{"value":"2813-2092","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,27]]},"article-number":"16648"}}