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KMID : 0360720130260010014
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Journal of the Korean Society Traumatology
2013 Volume.26 No. 1 p.14 ~ p.17
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Early Definitive Closure of an Open Abdomen by Using Porcine Dermal Collagen Graft: A Case Report
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Park Sung-Jin
Kim Jae-Hun
Yun Sung-Pil
Choi Sun-Woo
Kim Seon-Hee
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Abstract
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Purpose: The open abdomen is now the standard of care in various clinical situations, especially it is used to treat abdominal compartment syndrome. Many techniques have been reported for closure after an open abdomen, but most take a long time for complete definitive closure and are associated with various problems. We describe a technique using biologic mesh that can achieve early definitive closure after an open abdomen.
Methods: A 45-year-old man presented to the emergency room with a painful hip and painful lower extremities after a fall from 80 feet. Radiologic examination revealed multiple fractures of the pelvis and low extremities. Abdominal compartment syndrome caused by a retroperitoneal hematoma developed during the orthopedic surgery. We performed exploration immediately and closed abdomen temporarily. A peritoneal graft of porcine dermal collagen with anterior myofascial approximation of the rectus abdominis muscles and sliding skin flap was performed three days after the previous surgery.
Results: There were no complications related to the wound. The patient was transferred to the Department of Orthopedic Surgery seven days after the initial surgery.
Conclusion: Early definitive closure using porcine dermal collagen is a feasible method that can reduce the length of hospitalization and the number of operations for an open abdomen.
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KEYWORD
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Abdominal compartment syndrome, Damage control surgery, Definitive closure, Porcine dermal collagen
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