International Journal of Abdominal Wall and Hernia Surgery

CASE REPORTS
Year
: 2022  |  Volume : 5  |  Issue : 3  |  Page : 140--144

A simple technique for definite closure of full thickness abdominal wall defect in open abdomen after temporary applied split thickness graft: A case report


Michael Lorentziadis, Moustafa Mahmoud Nafady Hego, Hanan Al-Jurini 
 Department of General Surgery, Imam Abdulrahman Bin Faisal Hospital, Dammam, Kingdom of Saudi Arabia

Correspondence Address:
Dr. Michael Lorentziadis
Department of General Surgery, Imam Abdulrahman Bin Faisal Hospital, P.O. Box 4616 Dammam 31412
Kingdom of Saudi Arabia

Open abdomen (OA) has gained a wide acceptance in the management of abdominal surgical catastrophes. Definite reconstruction of OA is an operative challenge as various methods are used. Dynamic techniques are preferred for the closure of OA. If other methods fail to close the OA, then temporary split thickness skin graft can be applied and refer the definite closure for later. We used a modification of an existing technique, in a 47-year-old female patient with a big midline incisional hernia due to temporary closure of OA with partial-thickness skin graft, who was operated for permanent closure of the defect. In order to avoid complications from extensive dissection, we invaginated the grafted area and realigned the recti muscles with on lay mesh reinforcement with excellent outcome. This technique of inverting the previous grafted area when it can be applied is an easy and safe method with rewarding results.


How to cite this article:
Lorentziadis M, Nafady Hego MM, Al-Jurini H. A simple technique for definite closure of full thickness abdominal wall defect in open abdomen after temporary applied split thickness graft: A case report.Int J Abdom Wall Hernia Surg 2022;5:140-144


How to cite this URL:
Lorentziadis M, Nafady Hego MM, Al-Jurini H. A simple technique for definite closure of full thickness abdominal wall defect in open abdomen after temporary applied split thickness graft: A case report. Int J Abdom Wall Hernia Surg [serial online] 2022 [cited 2022 Nov 30 ];5:140-144
Available from: http://www.herniasurgeryjournal.org/article.asp?issn=2589-8736;year=2022;volume=5;issue=3;spage=140;epage=144;aulast=Lorentziadis;type=0