Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Early Definitive Closure of an Open Abdomen by Using Porcine Dermal Collagen Graft: A Case Report

외상환자의 손상통제 수술 후 돼지진피아교질 이식편을 이용한 조기 완전 폐복의 사례보고

  • Park, Sung Jin (Department of Surgery, Postgraduate School of Medicine, Pusan National University) ;
  • Kim, Jae Hun (Department of Surgery, Postgraduate School of Medicine, Pusan National University) ;
  • Yun, Sung Pil (Department of Surgery, Postgraduate School of Medicine, Pusan National University) ;
  • Choi, Sun Woo (Department of Cardiothoracic Surgery, Postgraduate School of Medicine, Pusan National University) ;
  • Kim, Seon Hee (Department of Cardiothoracic Surgery, Postgraduate School of Medicine, Pusan National University)
  • 박성진 (부산대학교 의학전문대학원 외과학교실) ;
  • 김재훈 (부산대학교 의학전문대학원 외과학교실) ;
  • 윤성필 (부산대학교 의학전문대학원 외과학교실) ;
  • 최선우 (부산대학교 의학전문대학원 흉부외과학교실) ;
  • 김선희 (부산대학교 의학전문대학원 흉부외과학교실)
  • Received : 2012.12.27
  • Accepted : 2013.02.26
  • Published : 2013.06.30
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Abstract

Purpose: The open abdomen is now the standard of care in various clinical situations, especially it is used to treat abdominal compartment syndrome. Many techniques have been reported for closure after an open abdomen, but most take a long time for complete definitive closure and are associated with various problems. We describe a technique using biologic mesh that can achieve early definitive closure after an open abdomen. Methods: A 45-year-old man presented to the emergency room with a painful hip and painful lower extremities after a fall from 80 feet. Radiologic examination revealed multiple fractures of the pelvis and low extremities. Abdominal compartment syndrome caused by a retroperitoneal hematoma developed during the orthopedic surgery. We performed exploration immediately and closed abdomen temporarily. A peritoneal graft of porcine dermal collagen with anterior myofascial approximation of the rectus abdominis muscles and sliding skin flap was performed three days after the previous surgery. Results: There were no complications related to the wound. The patient was transferred to the Department of Orthopedic Surgery seven days after the initial surgery. Conclusion: Early definitive closure using porcine dermal collagen is a feasible method that can reduce the length of hospitalization and the number of operations for an open abdomen.

Keywords

References

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