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KMID : 1144620230360020152
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Journal of Trauma and Injury
2023 Volume.36 No. 2 p.152 ~ p.156
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Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report
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Kim Yoon-Seob
Kim Tae-Ah
Hahn Hyung-Min
Kang Byung-Hee
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Abstract
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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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KEYWORD
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Wounds and injuries, Open abdomen techniques, Acellular dermis, Skin transplantation, Case reports
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