23 February 2024: Articles
Definitive Closure Using an Ovine Reinforced Tissue Matrix in Contaminated Penetrating Abdominal Trauma
Unusual clinical course, Challenging differential diagnosis, Management of emergency care, Clinical situation which can not be reproduced for ethical reasons
Luis G. Fernandez A* , Jason Murry B , Marc R. Matthews A , Christopher L. Thompson C , Mohamed Abdelgawad F , Rebekah Bjorklund FDOI: 10.12659/AJCR.943188
Am J Case Rep 2024; 25:e943188
Figure 4. Case 1: On hospital day 14, the patient’s upper midline incisional closure dehisced (A) due to bile auto-digestion of native tissue. The remaining defect, approximately 10×10 cm (circled in B), after debridement and partial closure is shown in (B). Following debridement of the necrotic fascia and myocutaneous advancement of the abdominal wall, (C) two 8-layer OviTex 2S Resorbable RTMs (20×20 cm and 20×16 cm, respectively) were applied to the wound with overlay placement and (D) myocutaneous flap advancement followed by abdominal wall closure.