471 Enhancing Outcomes and Improving Patient Services in Complex Abdominal Wall Reconstruction Through Multidisciplinary Collaboration

Abstract Introduction The management of complex abdominal wall pathologies presents a multifaceted challenge. There remains limited evidence for abdominal wall reconstruction, with variations in surgical technique, prosthetic materials, and patient cohorts. The abdominal wall reconstruction multidisciplinary team (AWRMDT) provides a platform for in-depth discussion of complex abdominal wall problems, drawing on expertise of radiologists, general and plastic surgeons. We aim to outline benefits and challenges in creation of our AWRMDT. Method From the creation of the MDT in December 2020, monthly meetings have been conducted to consider patient characteristics, nature of the defect, radiological findings, mesh selection and management. Comprehensive records of discussed cases were maintained, documenting profiles, management, outcomes, and any associated complications. Results A total of 105 cases were discussed in the AWRMDT from December 2020 to present. 68 (65%) patients were recommended for surgery, with 20 (19%) undergoing perioperative Botox injections. 26 (25%) patients were not recommended for surgery, while 2 (2%) have opted for treatment in the private sector. 18 (17%) required perioperative optimisation such as reduction in BMI and smoking cessation. Conclusions With growing prevalence of abdominal wall surgery, the AWRMDT enhances patient care and optimises the utilisation of limited resources. A collaborative approach to the management of this complex patient group is in line with published recommendations and has allowed our team to provide a more robust and standardised approach to this complex patient cohort. Future plans for our AWRMDT include the routine assessment of functional outcomes and achieving specialist centre status.