Definitive repair of complex abdominal wall defects caused by open abdominal cavity: A single-center experience

doi:10.3877/cma.j.issn.1674-392X.2019.05.006

Abstract

Abstract:

Objective

To investigate the effect of combined application of multiple abdominal wall defect repair techniques in the treatment of complex abdominal wall defects caused by open abdominal cavity.

Methods

From January 2013 to January 2018, The clinical data of 9 cases of abdominal wall defect repair in patients with complex abdominal wall defects caused by abdominal cavity opening due to abdominal compartment syndrome or severe abdominal infection were summarized, and the treatment methods and clinical effects were analyzed.

Results

The operation time was (4.5±3.2) hours, and the postoperative hospital stay was (9.0±4.2) days. Of the 9 patients in this group, 7 patients had complete repair of abdominal wall defects, and the abdominal wall function recovered well. 2 patients had recurrent abdominal wall defects.

Conclusion

Combined application of multiple abdominal wall defect repair techniques can effectively repair complex abdominal wall defects caused by open abdominal cavity, which provides a feasible solution for this difficult clinical outcome.

Key words: Abdominal compartment syndrome, Abdominal hypertension, Definite abdomen repair, Open abdomen, Abdominal wall defect

Zhenguo Zhao, Guoyi Shao. Definitive repair of complex abdominal wall defects caused by open abdominal cavity: A single-center experience[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2019, 13(05): 408-412.

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URL: https://zhshfbwkzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-392X.2019.05.006

https://zhshfbwkzz.cma-cmc.com.cn/EN/Y2019/V13/I05/408

Figures/Tables 3

References 10

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患者编号	性别	年龄(岁)	腹壁缺损划分			缺损面积(cm²)	重建方法
患者编号	性别	年龄(岁)	分型	分区	分级	缺损面积(cm²)	植入材料修补术	组织结构分离技术	自体组织移植术	化学组织结构分离术
01	男性	67	Ⅲ+Ⅰ+Ⅱ	M23+U	3	148	√	?	√	?
02	女性	43	Ⅲ+Ⅰ+Ⅱ	M12+U+L	3	130	√	?	-	?
03	男性	63	Ⅲ+Ⅰ	M12+U+L	3	122	√	?	-	?
04	女性	63	Ⅲ+Ⅰ+Ⅱ	M123+U+L	3	167	√	√	?	?
05	男性	35	Ⅲ+Ⅰ+Ⅱ	M123+U+L	3	245	-	-	√	?
06	女性	20	Ⅲ+Ⅰ+Ⅱ	M23+U+L	3	132	√	√	√	?
07	男性	67	Ⅲ+Ⅰ+Ⅱ	M123+U+L	4	165	√	√	-	?
08	男性	70	Ⅲ+Ⅱ	M12+U+L	3	140	√	√	√	?
09	男性	59	Ⅲ+Ⅰ+Ⅱ	M123+U+L	4	265	√	√	-	√

患者编号	性别	年龄(岁)	腹壁缺损划分			缺损面积(cm²)	重建方法
患者编号	性别	年龄(岁)	分型	分区	分级	缺损面积(cm²)	植入材料修补术	组织结构分离技术	自体组织移植术	化学组织结构分离术
01	男性	67	Ⅲ+Ⅰ+Ⅱ	M23+U	3	148	√	?	√	?
02	女性	43	Ⅲ+Ⅰ+Ⅱ	M12+U+L	3	130	√	?	-	?
03	男性	63	Ⅲ+Ⅰ	M12+U+L	3	122	√	?	-	?
04	女性	63	Ⅲ+Ⅰ+Ⅱ	M123+U+L	3	167	√	√	?	?
05	男性	35	Ⅲ+Ⅰ+Ⅱ	M123+U+L	3	245	-	-	√	?
06	女性	20	Ⅲ+Ⅰ+Ⅱ	M23+U+L	3	132	√	√	√	?
07	男性	67	Ⅲ+Ⅰ+Ⅱ	M123+U+L	4	165	√	√	-	?
08	男性	70	Ⅲ+Ⅱ	M12+U+L	3	140	√	√	√	?
09	男性	59	Ⅲ+Ⅰ+Ⅱ	M123+U+L	4	265	√	√	-	√

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