Reconstruction of a four-quadrant full-thickness abdominal wall defect after removal and debridement of an infected mesh hernioplasty
| Autor: | C. Schmitz, S. Schramm, J. Hankiss |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
medicine.medical_specialty
Reconstructive surgery Prosthesis-Related Infections Surgical Flaps Abdominal wall Necrosis Quadrant (abdomen) medicine Humans Hernia Device Removal business.industry Abdominal wall defect Abdominal Wall Pedicled Flap Middle Aged Plastic Surgery Procedures Surgical Mesh medicine.disease Hernia Ventral Surgery medicine.anatomical_structure Surgical mesh Debridement Female business |
| Zdroj: | Journal of Plastic, Reconstructive & Aesthetic Surgery. 64:e44-e46 |
| ISSN: | 1748-6815 |
| Popis: | This case-report shows our experience with a patient, who underwent mesh hernioplasty followed by infection of the mesh and full-thickness loss of the abdominal wall after debridement due to necrosis. The anamnesis included generalised arteriosclerosis, chronic nicotine and alcohol abuse and recurring wound-healing disorders after surgical procedures. The initial infection was treated by radical debridement, targeted antibiotics and V.A.C.(®) Therapy. After this, a staged plastic reconstructive procedure with four pedicled flaps was performed. The functional integrity of the abdominal wall was completely re-established. The patient was able to continue her occupation as a facility manager. Although the use of free flaps is very common in modern plastic and reconstructive surgery, procedures such as pedicled flaps still have their significance for special indications. In this case, a full recovery of the abdominal wall with autologous tissue was successful under difficult vascular conditions by using local flaps. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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