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Journal of Trauma and Injury 2013;26(1):14-17.
Early Definitive Closure of an Open Abdomen by Using Porcine Dermal Collagen Graft: A Case Report
Sung Jin Park, Jae Hun Kim, Sung Pil Yun, Sun Woo Choi, Seon Hee Kim
1Department of Surgery, Postgraduate School of Medicine, Pusan National University, Busan, Korea. jjangmdkmdk@hanmail.net
2Department of Cardiothoracic Surgery, Postgraduate School of Medicine, Pusan National University, Busan, Korea.
외상환자의 손상통제 수술 후 돼지진피아교질 이식편을 이용한 조기 완전 폐복의 사례보고
박성진, 김재훈, 윤성필, 최선우1, 김선희1
부산대학교 의학전문대학원 외과학교실, 1흉부외과학교실
Received: 27 December 2012   • Revised: 18 February 2013   • Accepted: 26 February 2013
Abstract
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.
Key Words: Abdominal compartment syndrome; Damage control surgery; Definitive closure; Porcine dermal collagen


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