Symeonidis Savvas, Anestiadou Elissavet, Bitsianis Stefanos, Gemousakakis Georgios, Ntampakis Georgios, Loutzidou Lydia, Ouzounidis Nikolaos, Kotidis Efstathios, Mantzoros Ioannis, Angelopoulos Stamatios
4th Surgical Department, Papanikolaou General Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Maedica (Bucur). 2022 Jun;17(2):518-523. doi: 10.26574/maedica.2022.17.2.518.
Complex abdominal wall reconstruction cases constitute a challenging issue, with high morbidity and mortality rates. A young trauma patient presented abdominal dehiscence after multiple laparotomies. The fascial defect was managed with the use of a biological mesh, while initially primary wound closure was attempted. Due to cutaneous dehiscence, the use of negative pressure wound therapy was decided. Granulation tissue formation was noticed on the eighth day while complete wound closure was achieved after 57 days. In conclusion, the combined use of biological mesh and negative pressure wound therapy is feasible in the management of complicated abdominal defects.
复杂腹壁重建病例是一个具有挑战性的问题，其发病率和死亡率都很高。一名年轻的创伤患者在多次剖腹手术后出现腹壁裂开。最初尝试进行一期伤口缝合，但由于筋膜缺损，使用了生物补片进行处理。由于皮肤裂开，决定采用负压伤口治疗。在第8天观察到肉芽组织形成，57天后伤口完全愈合。总之，生物补片和负压伤口治疗联合应用于复杂腹部缺损的处理是可行的。
