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Repair of a postappendectomy massive ventral hernia using tissue expanders
Reconstruction of large abdominal wall defects is a challenging problem. Various reconstructive techniques have been described in the surgical literature each with its advantages and disadvantages. In this report we describe our experience in treating a patient with large abdominal wall defect by st...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Surgical Society
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539112/ https://www.ncbi.nlm.nih.gov/pubmed/23323238 http://dx.doi.org/10.4174/jkss.2013.84.1.61 |
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author | Ersoy, Yeliz Emine Celebi, Fatih Erozgen, Fazilet Ergun, Selma Sonmez Akaydin, Murat Kaplan, Rafet |
author_facet | Ersoy, Yeliz Emine Celebi, Fatih Erozgen, Fazilet Ergun, Selma Sonmez Akaydin, Murat Kaplan, Rafet |
author_sort | Ersoy, Yeliz Emine |
collection | PubMed |
description | Reconstruction of large abdominal wall defects is a challenging problem. Various reconstructive techniques have been described in the surgical literature each with its advantages and disadvantages. In this report we describe our experience in treating a patient with large abdominal wall defect by staged abdominal wall reconstruction utilizing prosthetic mesh in conjunction with tissue expanders. A 41-year-old male presented with abdominal pain. Exploratory laparotomy showed perforated appendicitis with intraabdominal abscess of 1,500 mL. Postoperatively, he developed intraperitoneal sepsis. To prevent abdominal compartment syndrome, he was reoperated and left with "open abdomen". After several open abdomen lavages, his abdominal wall defect was allowed to granulate. After epithelization of the defect, the abdominal wall was reconstructed using prosthetic mesh and tissue expanders. The tissue expansion process was well tolerated. We suggest that the use of tissue expanders provides reliable and well-vascularized soft-tissue coverage in abdominal wall reconstruction. |
format | Online Article Text |
id | pubmed-3539112 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | The Korean Surgical Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-35391122013-01-15 Repair of a postappendectomy massive ventral hernia using tissue expanders Ersoy, Yeliz Emine Celebi, Fatih Erozgen, Fazilet Ergun, Selma Sonmez Akaydin, Murat Kaplan, Rafet J Korean Surg Soc Case Report Reconstruction of large abdominal wall defects is a challenging problem. Various reconstructive techniques have been described in the surgical literature each with its advantages and disadvantages. In this report we describe our experience in treating a patient with large abdominal wall defect by staged abdominal wall reconstruction utilizing prosthetic mesh in conjunction with tissue expanders. A 41-year-old male presented with abdominal pain. Exploratory laparotomy showed perforated appendicitis with intraabdominal abscess of 1,500 mL. Postoperatively, he developed intraperitoneal sepsis. To prevent abdominal compartment syndrome, he was reoperated and left with "open abdomen". After several open abdomen lavages, his abdominal wall defect was allowed to granulate. After epithelization of the defect, the abdominal wall was reconstructed using prosthetic mesh and tissue expanders. The tissue expansion process was well tolerated. We suggest that the use of tissue expanders provides reliable and well-vascularized soft-tissue coverage in abdominal wall reconstruction. The Korean Surgical Society 2013-01 2012-12-26 /pmc/articles/PMC3539112/ /pubmed/23323238 http://dx.doi.org/10.4174/jkss.2013.84.1.61 Text en Copyright © 2013, the Korean Surgical Society http://creativecommons.org/licenses/by-nc/3.0/ Journal of the Korean Surgical Society is an Open Access Journal. All articles are distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ersoy, Yeliz Emine Celebi, Fatih Erozgen, Fazilet Ergun, Selma Sonmez Akaydin, Murat Kaplan, Rafet Repair of a postappendectomy massive ventral hernia using tissue expanders |
title | Repair of a postappendectomy massive ventral hernia using tissue expanders |
title_full | Repair of a postappendectomy massive ventral hernia using tissue expanders |
title_fullStr | Repair of a postappendectomy massive ventral hernia using tissue expanders |
title_full_unstemmed | Repair of a postappendectomy massive ventral hernia using tissue expanders |
title_short | Repair of a postappendectomy massive ventral hernia using tissue expanders |
title_sort | repair of a postappendectomy massive ventral hernia using tissue expanders |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3539112/ https://www.ncbi.nlm.nih.gov/pubmed/23323238 http://dx.doi.org/10.4174/jkss.2013.84.1.61 |
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