Reconstruction of disruption of the abdominal wall in burn patients.
Two patients with extensive destruction of the full thickness of the abdominal wall and associated intra-abdominal injuries were encountered. One case resulted from burns to a patient pinned under an automobile in contact with the muffler; the other was injured as a result of penetration of the abdominal wall by a railroad coupling and was also burned in an associated welding accident at the same time. Extensive staged debridement and repair of intra-abdominal injuries in several procedures were required in case 1. Closure was eventually achieved with serial applications of mesh and split-thickness autografting. In case 2, an initial attempt at flap closure failed. Coverage initially was obtained with silicone mesh followed by split-thickness grafting. We report successful management of two of these difficult reconstructive challenges.
Still
J M
JM
Columbia-Augusta Medical Center, GA, USA.
Dimick
A R
AR
Dawson
J
J
Law
E
E
D000007:Abdominal Injuries / Q000601:surgery*; D000009:Abdominal Muscles / Q000293:injuries*; D000062:Accidents, Occupational; D000293:Adolescent; D000328:Adult; D002056:Burns / Q000601:surgery*; D003646:Debridement; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D019736:Prostheses and Implants; D019651:Plastic Surgery Procedures; D013524:Surgical Flaps