Application of 3D Visualization Technology in Complex Abdominal Wall Defects

Abstract

Zhicheng Song,1,2,* Wenpei Dong,1,2,* Dongchao Yang,2 Jianjun Yang,2 Jugang Wu,2 Yiping Wang,2 Yan Gu1,2 1Department of General Surgery, Huadong Hospital, Fudan University, Shanghai, People’s Republic of China; 2Department of General Surgery, Hernia and Abdominal Wall Surgery Center of Shanghai Jiao Tong University, Shanghai Ninth People’s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, People’s Republic of China*These authors contributed equally to this workCorrespondence: Yan GuDepartment of General Surgery, Huadong Hospital, Fudan University, No. 221 West Yan’an Road, Shanghai, 200040, People’s Republic of ChinaEmail [email protected]: To explore the value of medical three-dimensional visualization technology in precise preoperative assessment of complex abdominal wall defects.Methods: The clinical data of 30 patients were analyzed retrospectively from November 2017 to December 2020 in our department. Ten patients had abdominal wall hernias and 20 patients suffered from abdominal wall tumors. CT examination was performed, and data were stored in the form of DICOM. Three-dimensional reconstruction and related data analysis were performed by Medraw software, which can accurately show the calculation of the abdominal wall defect area, abdominal wall defect classification and zoning.Results: The ratio of the volume of the hernia sac to the whole abdominal volume in 10 patients with abdominal wall hernia was 4.75%. The average ratio of defect area to the whole abdominal wall in 16 patients suffered from abdominal wall tumors was 17.68%. Preoperative three-dimensional reconstruction can accurately obtain an average abdominal wall defect area of 227.83 ± 157.33 cm2 and accurate abdominal wall classification and zoning. Combined with clinical information, we can develop personalized surgical plans for patients. The average operating time was 5.39 ± 2.71 h, respectively, and the average hospital stay was 22.77 ± 11.59 days. The mean follow-up time was 21.09 ± 9.72 months. The incidence of postoperative complications was 23.33% (7/30). The recurrence rates of incisional hernias and abdominal wall tumors were 20.00% (2/10) and 15.00% (3/20), respectively. The patient survival rate was 86.67% (26/30).Conclusion: Three-dimensional visualization technology can be used for the accurate evaluation of patients with complex abdominal defects before surgery and can help surgeons design personalized surgical plans for patients.Keywords: three-dimensional visualization, complex abdominal wall defects, abdominal wall tumor, abdominal wall reconstruction

Keywords

• three-dimensional visualization
• complex abdominal wall defects
• abdominal wall tumor
• abdominal wall reconstruction