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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Main Authors: Yoonseob Kim, Tae Ah Kim, Hyung Min Hahn, Byung Hee Kang
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-06-01
Series:Journal of Trauma and Injury
Subjects:
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.
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publisher Korean Society of Traumatology
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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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AT hyungminhahn delayedopenabdomenclosureusingacombinationofacellulardermalmatrixandskingraftinkoreaacasereport
AT byungheekang delayedopenabdomenclosureusingacombinationofacellulardermalmatrixandskingraftinkoreaacasereport