Zhitny Vladislav Pavlovich, Iftekhar Noama, Moreno Shannon, Stile Frank
School of Medicine, University of Nevada, Las Vegas, Las Vegas, NV, USA.
School of Medicine, Loyola University of Chicago, Maywood, IL, USA.
Int J Surg Case Rep. 2020;72:365-368. doi: 10.1016/j.ijscr.2020.06.056. Epub 2020 Jun 18.
Gun violence is a public health epidemic in the United States with 15,315 non-suicide related deaths reported in 2019 by the Gun Violence Archive. To date, abdominoplasty is primarily a cosmetic procedure, which involves low-lying incision, removal of excess skin, fat, and tissue, and strengthening of the abdominal wall musculature. There currently are limited reports in regard to abdominoplasty as a procedure for scar revision and abdominal deformity repair associated with gunshot related injuries.
An African American female patient, 38 years of age, presented for correction of a wide healed surgical incision and incisional hernia in the midline abdomen. This resulted from a trauma laparotomy in treatment of multiple gunshot wounds.
Patient presented post-operatively with no complications. She had successful reduction of her incisional hernia using an anatomic repair. Her wide hypertrophic abdominal scar was excised and primarily closed.
In the cases of abdominal hernia and scarring secondary to trauma laparotomies performed for gunshot wounds, abdominoplasty is an option for revision and repair.
枪支暴力是美国的一种公共卫生流行病，枪支暴力档案库报告称2019年有15315例与非自杀相关的死亡。迄今为止，腹壁成形术主要是一种美容手术，包括低位切口、切除多余皮肤、脂肪和组织以及加强腹壁肌肉组织。目前关于腹壁成形术作为与枪伤相关的瘢痕修复和腹部畸形修复手术的报道有限。
一名38岁的非裔美国女性患者因腹部中线处宽大的愈合手术切口和切口疝前来矫正。这是由治疗多处枪伤的创伤剖腹手术导致的。
患者术后无并发症。通过解剖修复成功减少了切口疝。切除了宽大的增生性腹部瘢痕并进行了一期缝合。
对于因枪伤进行创伤剖腹手术继发的腹部疝和瘢痕形成病例，腹壁成形术是一种修复和矫正的选择。
