Reconstruction option of abdominal wounds with large tissue defects

BMC Surgery

Jan Skultety¹  Jaroslav Sekac¹  Augustin Prochotsky¹  Ivan Majesky¹  Christian Bartko¹  Martin Hutan¹ 

[1] II.nd Surgical Clinic of Medical faculty Comenius University, University Hospital Bratislava, Hospital of st. Cyril and Methodius, Antolska 11, Bratislava 85107, Slovakia

关键词: Abdominal wall defect;    Split skin grafting;    NPWT;   

Others  :  1123276
DOI  :  10.1186/1471-2482-14-50

 received in 2014-02-20, accepted in 2014-07-30,  发布年份 2014

【 摘 要 】

Background

Abdominal wall defects result from trauma, abdominal wall tumors, necrotizing infections or complications of previous abdominal surgeries. Apart from cosmetics, abdominal wall defects have strong negative functional impact on the patients.

Many different techniques exist for abdominal wall repair. Most problematic and troublesome are defects, where major part of abdominal wall had to be resected and tissue for transfer or reconstruction is absent.

Case presentation

Authors of the article present operative technique, in which reconstruction of abdominal wall was managed by composite polypropylene mesh with absorbable collagen film, creation of granulation tissue with use of NPWT (negative pressure wound therapy), and subsequent split skin grafting.

Three patients with massive abdominal wall defect were successfully managed and abdominal wall reconstruction was performed by mentioned technique. Functional and cosmetic effect is acceptable and patients have good postoperative quality of life.

Conclusions

Patients with giant abdominal defects can benefit from described technique. It serves as the only option, with which abdominal wall is fully reconstructed without need for the secondary intervention.

【 授权许可】

   
2014 Hutan et al.; licensee BioMed Central Ltd.

【 图 表 】

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