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Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect
Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the ab...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977490/ https://www.ncbi.nlm.nih.gov/pubmed/24778655 http://dx.doi.org/10.1155/2014/235930 |
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author | Caviggioli, Fabio Klinger, Francesco Maria Lisa, Andrea Maione, Luca Forcellini, Davide Vinci, Valeriano Codolini, Luca Klinger, Marco |
author_facet | Caviggioli, Fabio Klinger, Francesco Maria Lisa, Andrea Maione, Luca Forcellini, Davide Vinci, Valeriano Codolini, Luca Klinger, Marco |
author_sort | Caviggioli, Fabio |
collection | PubMed |
description | Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the abdominal wall, subsequently complicated by peritonitis and enteric fistula. A cutaneous dehiscence and an incontinent abdominal wall resulted after the last surgery. The abdominal wall was reconstructed using a biological porcine cross-linked mesh Permacol (Covidien Inc., Norwalk, CT). Negative Pressure Wound Therapy (NPWT), instead, was used on the mesh in order to reduce wound dimensions, promote granulation tissue formation, and obtain secondary closure of cutaneous dehiscence which was finally achieved with a split-thickness skin graft. Biological mesh behaved like a scaffold for the granulation tissue that was stimulated by the negative pressure. The biological mesh was rapidly integrated in the abdominal wall restoring abdominal wall continence, while the small dehiscence, still present in the central area, was subsequently covered with a split-thickness skin graft. The combination of these different procedures led us to solve this complicated case obtaining complete wound closure after less than 2 months. |
format | Online Article Text |
id | pubmed-3977490 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-39774902014-04-28 Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect Caviggioli, Fabio Klinger, Francesco Maria Lisa, Andrea Maione, Luca Forcellini, Davide Vinci, Valeriano Codolini, Luca Klinger, Marco Case Rep Med Case Report Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the abdominal wall, subsequently complicated by peritonitis and enteric fistula. A cutaneous dehiscence and an incontinent abdominal wall resulted after the last surgery. The abdominal wall was reconstructed using a biological porcine cross-linked mesh Permacol (Covidien Inc., Norwalk, CT). Negative Pressure Wound Therapy (NPWT), instead, was used on the mesh in order to reduce wound dimensions, promote granulation tissue formation, and obtain secondary closure of cutaneous dehiscence which was finally achieved with a split-thickness skin graft. Biological mesh behaved like a scaffold for the granulation tissue that was stimulated by the negative pressure. The biological mesh was rapidly integrated in the abdominal wall restoring abdominal wall continence, while the small dehiscence, still present in the central area, was subsequently covered with a split-thickness skin graft. The combination of these different procedures led us to solve this complicated case obtaining complete wound closure after less than 2 months. Hindawi Publishing Corporation 2014 2014-03-19 /pmc/articles/PMC3977490/ /pubmed/24778655 http://dx.doi.org/10.1155/2014/235930 Text en Copyright © 2014 Fabio Caviggioli et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Caviggioli, Fabio Klinger, Francesco Maria Lisa, Andrea Maione, Luca Forcellini, Davide Vinci, Valeriano Codolini, Luca Klinger, Marco Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
title | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
title_full | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
title_fullStr | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
title_full_unstemmed | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
title_short | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
title_sort | matching biological mesh and negative pressure wound therapy in reconstructing an open abdomen defect |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3977490/ https://www.ncbi.nlm.nih.gov/pubmed/24778655 http://dx.doi.org/10.1155/2014/235930 |
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