Omentum as a cover for abdominal wall loss.
A case of necrotising fasciitis with full-thickness loss of the entire abdominal wall is reported after an uncomplicated elective low anterior resection. Salvage was accomplished by early wide surgical extirpation and repeated re-explorations and debridements. The presence of ample omentum helped prevent evisceration and allowed granulation tissue to gradually seal the abdominal cavity over a period of 4 months without further reconstructive procedures.
Chuwa
E W
EW
Department of Colorectal Surgery, Singapore General Hospital, Singapore.
Seow-Choen
F
F
D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019115:Fasciitis, Necrotizing / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D006801:Humans; D007081:Ileostomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000637:transplantation*; D012004:Rectal Neoplasms / Q000601:surgery; D013530:Surgical Wound Infection / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D014014:Tissue Adhesives
D000900:Anti-Bacterial Agents; D014014:Tissue Adhesives