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2012 | 84 | 1 | 44-48
Article title

Reconstruction in Case of Full Thickness Abdominal Wall Defects Due to Necrotizing Fascitis - Case Report

Content
Title variants
Languages of publication
EN
Abstracts
EN
Emergency full thickness abdominal wall defects constitute a challenging problem for surgeons. The aim of reconstruction is prevention of evisceration and hernia formation. Staged surgery is recommended in such cases. The first stage consists of wound healing with skin grafts and creation of "planned hernia". Ultimate reconstruction is delayed until good general health state of the patient. In presented case final skin and subcutaneous tissue reconstruction was achieved with island fasciocutaneous antero-lateral thigh flap. Reconstruction of musculo-aponeurotic layer was completed with compartment separation technique and synthetic mesh. During follow-up no recurrence of deformity was observed.
Publisher

Year
Volume
84
Issue
1
Pages
44-48
Physical description
Dates
published
1 - 1 - 2012
online
3 - 4 - 2012
Contributors
  • Department of Plastic Surgery, Medical Center for Postgraduate Education, Prof. W. Orłowski Memorial Hospital in Warsaw
author
  • Department of Plastic Surgery, Medical Center for Postgraduate Education, Prof. W. Orłowski Memorial Hospital in Warsaw
References
  • Andreasen TJ, Green SD, Childers BJ: Massive Infectious Soft-Tissue Injury: Diagnosis and Management of Necrotizing Fasciitis and Purpura Fulminans. Plast Reconstr Surg 2001; 107: 1025-35.
  • Fabian TC, Croce MA, Pritchard Fe et al.: Planned Ventral Hernia. Staged Management of Acute Abdominal Wall Defects. Ann Surg 1994; 219(6): 643-53.
  • Rodrigues ED, Bluebond-Langner R, Silwerman RP et al.: Abdominal Wall Reconstruction following Severe Loss of Domain: The R Adams Cowley Shock Trauma Center Algorithm. Plastic Reconstr Surg 2007; 120(3): 669-80.
  • Rohrich RJ, Lowe JB, Hackney FL et al.: An Algorithm for Abdominal Wall Reconstruction. Plast Renonstr Surg 2000; 105(1): 1-17.
  • Disa JJ, Goldberg NH, Carlton JM et al.: Restoring Abdominal Wall Integrity In Contaminated Tissue-Deficient Wounds Using Autologous Fascia Grafts. Plast Reconstr Surg 1998; 101(4): 979-86.
  • Kulicki M, Hartwich A: Współczesne metody chirurgicznego zaopatrywania rozległych ubytków i przepuklin powłok brzusznych. Pol Przegl Chir 2000; 72(1): 65-75.
  • Wong CH, Lin CH, Fu B, Fang JF: Reconstruction of Complex Abdominal Wall Defects with Free Flaps: Indications and Clinical Outcome. Plast Reconstr Surg 2009; 124(2): 500-09.[WoS]
  • Song YG, Chen GZ, Song YL: The free thigh Flap: a new free flap koncept based on the septocutaneous artery. Br J Plast Surg 1984; 37: 149-59.
  • Kimata Y, Uchiyama K, Sekido M et al.: Anterolateral Thigh Flap for Abdominal Wall Reconstruction. Plast Reconstr Surg 1999; 103(4): 1191-97.
  • Lannon DA, Ross GL, Addison PD et al.: Versatility of the Proximally Pedicled Anterolateral Thigh Flap and Its Use In Complex Abdominal and Pelvic Reconstruction. Plast Reconstr Surg 2011; 127(2): 677-88.
  • Lin SJ, Butler CE: Subtotal Thigh Flap and Bioprosthetic Mesh Reconstruction for Large, Composite Abdominal Wall Defects. Plast Reconstr Surg 2010; 125(4): 1146-56.[WoS]
Document Type
Publication order reference
Identifiers
YADDA identifier
bwmeta1.element.-psjd-doi-10_2478_v10035-012-0007-2
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