Laparostomy healing by secondary intention after ruptured abdominal aortic aneurysm repair.
Abdominal compartment syndrome resulting from intra-abdominal hypertension can be prevented or treated with the formation of a laparostomy. In the majority of cases this is followed by delayed abdominal wall reconstruction involving the use of prosthetic materials and split-skin grafts. The authors present a case study involving a patient who underwent repair of a ruptured abdominal aortic aneurysm and required a laparostomy to prevent abdominal compartment syndrome. He also had significant perioperative morbidity and poor nutritional status. Despite this, satisfactory wound healing was achieved without the need for split-skin grafting, thus avoiding further surgery and its associated complications.
Chorbadjian
Mary
M
Department of Vascular Surgery, University Hospitals of Leicester NHS Trust, Leicester.
Bown
Matthew
M
Graham
Chris
C
Sayers
Robert
R
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001019:Aortic Rupture / Q000601:surgery*; D003161:Compartment Syndromes / Q000517:prevention & control; D006801:Humans; D007813:Laparotomy; D008297:Male; D011183:Postoperative Complications / Q000517:prevention & control; D014945:Wound Healing