Journal of Trauma and Injury

Case Report

Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report: Yoonseob Kim, Tae Ah Kim, Hyung Min Hahn, Byung Hee Kang; J Trauma Inj. 2023;36(2):152-156. Published online November 4, 2022; DOI: https://doi.org/10.20408/jti.2022.0024

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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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The "open abdomen" method: history of development, evolution of approaches and modern tactics
O. Y. Usenko, O. S. Tyvonchuk, R. I. Vinogradov, Y. A. Vladymirenko
The Ukrainian Journal of Clinical Surgery.2025; 92(4): 56. CrossRef

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