Repair of a postappendectomy massive ventral hernia using tissue expanders

Yeliz Emine Ersoy; Fatih Celebi; Fazilet Erozgen; Selma Sonmez Ergun; Murat Akaydin; Rafet Kaplan

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자료유형: 학술저널

저자정보: Yeliz Emine Ersoy (Bezmialem Vakif University Faculty of Medicine) Fatih Celebi (Bagcilar Training and Research Hospital) Fazilet Erozgen (Haseki Training and Research Hospital) Selma Sonmez Ergun (Bezmialem Vakif University Faculty of Medicine) Murat Akaydin (Universal Aksaray Hospital) Rafet Kaplan (Haseki Training and Research Hospital)

저널정보: 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.1

발행연도: 2013.1

수록면: 61 - 65 (5page)

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Reconstruction of large abdominal wall defects is a challenging problem. Various reconstructive techniques have been described in the surgical literature each with its advantages and disadvantages. In this report we describe our experience in treating a patient with large abdominal wall defect by staged abdominal wall reconstruction utilizing prosthetic mesh in conjunction with tissue expanders. A 41-year-old male presented with abdominal pain. Exploratory laparotomy showed perforated appendicitis with intraabdominal abscess of 1,500 mL. Postoperatively, he developed intraperitoneal sepsis. To prevent abdominal compartment syndrome, he was reoperated and left with “pen abdomen” After several open abdomen lavages, his abdominal wall defect was allowed to granulate. After epithelization of the defect, the abdominal wall was reconstructed using prosthetic mesh and tissue expanders. The tissue expansion process was well tolerated. We suggest that the use of tissue expanders provides reliable and well-vascularized soft-tissue coverage in abdominal wall reconstruction.

#Abdominal hernia #Tissue expander #Reconstruction

참고문헌 (10)

참고문헌 신청

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