10 years ago, Ms. Wang of Wuxi found a lump the size of a walnut on her stomach. After going to the hospital for treatment, he was surgically removed in hospital and confirmed to be "fibrosarcoma" of the abdominal wall. The doctor said that it is a low-grade malignant tumor, and it will not be life-threatening in the short term, but it is easy to relapse, so let Ms. Wang pay attention in the future. Sure enough, three years later, a lump grew next to the original surgical incision. Ms. Wang went to the doctor immediately after she found out. The doctor said it was a recurrence and needed another operation, but it was still easy to recur after operation. Ms. Wang had to be hospitalized again and finally removed the tumor. But in less than two years, the same thing happened again, and so on. In the past ten years, Ms. Wang has had seven operations, and her stomach is full of scars, but the interval between each recurrence is getting shorter and shorter. It's only been more than half a year since the last operation, and the recurrent tumor is getting bigger and bigger. The earliest tumor was only a piece in the right lower abdomen. Now there are lumps, large and small, all over the lower abdomen, and some of them have grown out and are almost broken. Ms Wang Can had to see the doctor again. This time, the doctor shook his head and said that the scope is too big now, and it really can't be opened any more. Ms. Wang went to many big hospitals around and got the same answer. They all say that the tumor is too big, and if the tumor is completely removed, it will leave a big hole that cannot be filled. This is really impossible. After some tossing, Ms. Wang and her family were almost desperate, thinking that they could only wait for death this time. Later, a relative heard that Shanghai Ninth People's Hospital had done some similar cases in this respect. After some inquiries, Ms. Wang hung up the expert clinic of Gu Yan, the director of surgery at the Ninth People's Hospital of Shanghai, with the idea of treating a dead horse as a living horse doctor. Director Gu inquired about the medical history in detail and examined it carefully. He thought that Ms. Wang still had the possibility of radical tumor surgery, but the scope of the operation was very large and the difficulty was not small. The operation needs to remove the whole lower abdominal wall, including all the skin, subcutaneous tissue and muscles of the abdominal wall. After abdominal wall resection, there is a big hole with a diameter of 20cm. What if there is nothing in the stomach to cover the intestines and other organs? It is necessary to take a piece of skin with muscle from the thigh (medically called myocutaneous flap) to transfer and cover the original hole. Finally, the wound on the thigh can be solved by skin grafting. Director Gu told Ms. Wang and her family that this situation is not uncommon. When doctors resect various soft tissue tumors of abdominal wall, they are often afraid that the abdominal wall defect caused by tumor resection can not be repaired and the abdominal wall can not be reconstructed, which leads to incomplete resection, which makes the tumor more likely to recur and narrows the scope of operation. As a result, repeated surgery recurred and finally it could not be removed. The advantage of our department lies in its powerful abdominal wall reconstruction and plastic surgery technology. Reconstruction is possible as long as the tumor can remove the abdominal wall. After hearing this, Ms. Wang still has concerns. Director Gu told Ms. Wang that we have done many similar operations, most of which have recurred many times, and the most common one was 13 surgery in the outer hospital. Ms. Wang finally dispelled her concerns. After accurate preoperative design and 8 hours of operation, the tumor on Ms. Wang's abdominal wall was removed, and the 20cm defect was successfully repaired, and the abdominal wall was reconstructed well. After the operation, Ms. Wang recovered smoothly, even the original uneven lower abdominal wall became flat, and there was no sign of recurrence in postoperative follow-up. Ms. Wang was very satisfied and said that Director Gu had given her a new life. In fact, not only tumors, but also severe abdominal trauma and infection may cause huge abdominal wall defects, and there is a big hole in the stomach. If there are still problems in people's survival, let alone normal life. Therefore, this defect needs to be repaired by a doctor in abdominal surgery. However, abdominal surgery started late in China, and many patients could not get good treatment. Abdominal wall defect has become a refractory disease, so a case like Ms. Wang appeared. Our hospital started earlier in this respect. With the help of the advantages of orthopedics in the Ninth Hospital and various plastic surgery techniques, our department has been able to treat abdominal wall defects caused by different abdominal wall diseases in various ways, and abdominal wall surgery is at an advanced level in China. Note: The above information is true, but the real name is hidden (Author: Tang Rui, Deputy Chief Physician of General Surgery, Ninth Hospital). Outpatient time: Professor Gu Yan on Wednesday morning and Professor Gong on Monday morning.