Journal of Trauma and Injury

  • 제36권2호
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  • Pages.152-156
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  • 2023
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  • 2799-4317(pISSN)
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  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
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Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report

  • Yoonseob Kim (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Tae Ah Kim (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Hyung Min Hahn (Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine) ;
  • Byung Hee Kang (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine)
  • 투고 : 2022.05.03
  • 심사 : 2022.09.06
  • 발행 : 2023.06.30
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초록

Delayed closure of an open abdomen (OA) is a clinically challenging task despite its various modalities. It is substantially more difficult when the duration of OA treatment is prolonged due to a patient's condition. We introduced the management of a patient who had a delayed OA treatment spanning approximately 3 months due to severe abdominal contamination. The 64-year-old male patient had an injured pelvis pressed by a road roller. After visiting a trauma center, the patient initially underwent damage control surgery and OA management; however, early primary abdominal closure failed due to severe peritonitis. After negative pressure wound therapy for several months, an acellular dermal matrix graft followed by a skin graft were successfully used as treatments. A combination of acellular dermal matrix graft, negative pressure wound therapy, and skin graft techniques is a considerable management sequence for patients subjected to delayed OA treatment.

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참고문헌

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