Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report
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 a...
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Language: | English |
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Korean Society of Traumatology
2023-06-01
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Series: | Journal of Trauma and Injury |
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Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0024.pdf |
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author | Yoonseob Kim Tae Ah Kim Hyung Min Hahn Byung Hee Kang |
author_facet | Yoonseob Kim Tae Ah Kim Hyung Min Hahn Byung Hee Kang |
author_sort | Yoonseob Kim |
collection | DOAJ |
description | 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. |
format | Article |
id | doaj-art-20a170dfff534478be853604ce8c6bcc |
institution | Kabale University |
issn | 2799-4317 2287-1683 |
language | English |
publishDate | 2023-06-01 |
publisher | Korean Society of Traumatology |
record_format | Article |
series | Journal of Trauma and Injury |
spelling | doaj-art-20a170dfff534478be853604ce8c6bcc2025-01-16T05:39:48ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-06-0136215215610.20408/jti.2022.00241221Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case reportYoonseob Kim0Tae Ah Kim1Hyung Min Hahn2Byung Hee Kang3 Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, Korea Department of Plastic and Reconstructive Surgery, Ajou University School of Medicine, Suwon, Korea Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine, Suwon, KoreaDelayed 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.http://jtraumainj.org/upload/pdf/jti-2022-0024.pdfwounds and injuriesopen abdomen techniquesacellular dermisskin transplantationcase reports |
spellingShingle | Yoonseob Kim Tae Ah Kim Hyung Min Hahn Byung Hee Kang Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report Journal of Trauma and Injury wounds and injuries open abdomen techniques acellular dermis skin transplantation case reports |
title | Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report |
title_full | Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report |
title_fullStr | Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report |
title_full_unstemmed | Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report |
title_short | Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report |
title_sort | delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in korea a case report |
topic | wounds and injuries open abdomen techniques acellular dermis skin transplantation case reports |
url | http://jtraumainj.org/upload/pdf/jti-2022-0024.pdf |
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