Objective：To compare the results of direct suture and tension-free open repair with  artificial mesh after excision of abdominal desmoid tumor.
Methods：The patients included 2 groups: Seven cases were treated by direct suture after excision of abdominal desmoid tumor from 1990 to 2002 (group A); 9 cases were treated with wide excision and artificial mesh was used for repair of abdominal wall defect  from 2003 to 2010 (group B).
Results：The mean time to ambulation was more than 72 hours in group A, and 6 to 12 hours in group B; the mean hospitalization time was 14 days in group A and 9 days in group B, respectively. During the follow-up (7 to 20 years), there was one patient with incisional hernia and one patient with tumor recurrence in group A; while in the follow-up period(6 months to 7 years), there was no incisional hernia or tumor recurrence in  group B. 
Conclusions：Surgical resection of abdominal desmoid tumor and repair of abdominal wall with artificial mesh is an easy, safe, and effective method.