Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect
Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the ab...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/235930 |
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| author | Fabio Caviggioli Francesco Maria Klinger Andrea Lisa Luca Maione Davide Forcellini Valeriano Vinci Luca Codolini Marco Klinger |
| author_facet | Fabio Caviggioli Francesco Maria Klinger Andrea Lisa Luca Maione Davide Forcellini Valeriano Vinci Luca Codolini Marco Klinger |
| author_sort | Fabio Caviggioli |
| collection | DOAJ |
| description | Reconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the abdominal wall, subsequently complicated by peritonitis and enteric fistula. A cutaneous dehiscence and an incontinent abdominal wall resulted after the last surgery. The abdominal wall was reconstructed using a biological porcine cross-linked mesh Permacol (Covidien Inc., Norwalk, CT). Negative Pressure Wound Therapy (NPWT), instead, was used on the mesh in order to reduce wound dimensions, promote granulation tissue formation, and obtain secondary closure of cutaneous dehiscence which was finally achieved with a split-thickness skin graft.
Biological mesh behaved like a scaffold for the granulation tissue that was stimulated by the negative pressure. The biological mesh was rapidly integrated in the abdominal wall restoring abdominal wall continence, while the small dehiscence, still present in the central area, was subsequently covered with a split-thickness skin graft. The combination of these different procedures led us to solve this complicated case obtaining complete wound closure after less than 2 months. |
| format | Article |
| id | doaj-art-03272c690ecc4adaa4d52125a528d85d |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-03272c690ecc4adaa4d52125a528d85d2025-02-03T05:46:19ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/235930235930Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen DefectFabio Caviggioli0Francesco Maria Klinger1Andrea Lisa2Luca Maione3Davide Forcellini4Valeriano Vinci5Luca Codolini6Marco Klinger7University of Milan, School of Plastic Surgery, Plastic Surgery Department, Multimedica Holding S.p.A, Via Milanese 300, Sesto San Giovanni, 20099 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Plastic Surgery Department, Multimedica Holding S.p.A, Via Milanese 300, Sesto San Giovanni, 20099 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Department of Translational Medicine (BIOMETRA), Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, 20089 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Department of Translational Medicine (BIOMETRA), Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, 20089 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Plastic Surgery Department, Multimedica Holding S.p.A, Via Milanese 300, Sesto San Giovanni, 20099 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Department of Translational Medicine (BIOMETRA), Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, 20089 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Department of Translational Medicine (BIOMETRA), Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, 20089 Milan, ItalyUniversity of Milan, School of Plastic Surgery, Department of Translational Medicine (BIOMETRA), Humanitas Clinical and Research Center, Via Manzoni 56, Rozzano, 20089 Milan, ItalyReconstruction of open abdominal defects is a clinical problem which general and plastic surgeons have to address in cooperation. We report the case of a 66-year-old man who presented an abdominal dehiscence after multiple laparotomies for a sigmoid-rectal adenocarcinoma that infiltrated into the abdominal wall, subsequently complicated by peritonitis and enteric fistula. A cutaneous dehiscence and an incontinent abdominal wall resulted after the last surgery. The abdominal wall was reconstructed using a biological porcine cross-linked mesh Permacol (Covidien Inc., Norwalk, CT). Negative Pressure Wound Therapy (NPWT), instead, was used on the mesh in order to reduce wound dimensions, promote granulation tissue formation, and obtain secondary closure of cutaneous dehiscence which was finally achieved with a split-thickness skin graft. Biological mesh behaved like a scaffold for the granulation tissue that was stimulated by the negative pressure. The biological mesh was rapidly integrated in the abdominal wall restoring abdominal wall continence, while the small dehiscence, still present in the central area, was subsequently covered with a split-thickness skin graft. The combination of these different procedures led us to solve this complicated case obtaining complete wound closure after less than 2 months.http://dx.doi.org/10.1155/2014/235930 |
| spellingShingle | Fabio Caviggioli Francesco Maria Klinger Andrea Lisa Luca Maione Davide Forcellini Valeriano Vinci Luca Codolini Marco Klinger Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect Case Reports in Medicine |
| title | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
| title_full | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
| title_fullStr | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
| title_full_unstemmed | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
| title_short | Matching Biological Mesh and Negative Pressure Wound Therapy in Reconstructing an Open Abdomen Defect |
| title_sort | matching biological mesh and negative pressure wound therapy in reconstructing an open abdomen defect |
| url | http://dx.doi.org/10.1155/2014/235930 |
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