title: A novel approach to reconstruct a large full thickness abdominal wall defect: successful treatment with MatriDerm® and Split.
abstract: Reconstruction of large abdominal wall defects is a challenging procedure, often contraindicated in critically ill patients, with high incidences of complications. We present a case of a patient with a large abdominal wall defect who had reconstruction with MatriDerm® (an engineered dermal template) and split thickness skin grafting (SSG) as an alternative to reconstruction with myo- or fascio-cutaneous flaps. Successful wound closure was achieved with a single technique, while providing a robust reconstruction and an interface between skin and underlying viscera, should further surgery be necessary.
authors.affiliation: Senior house officer, National Burns Unit Dept Plastic & Reconstructive Surgery St. James's Hospital Dublin, Ireland.
authors.forename: E
authors.initials: E
authors.lastname: Tong
authors.forename: F
authors.initials: F
authors.lastname: Martin
authors.forename: O
authors.initials: O
authors.lastname: Shelley
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D061645:Abdominoplasty / Q000379:methods*; D003094:Collagen / Q000627:therapeutic use*; D003646:Debridement; D004549:Elastin / Q000627:therapeutic use*; D019115:Fasciitis, Necrotizing / Q000601:surgery*; D005260:Female; D006801:Humans; D008875:Middle Aged; D054843:Negative-Pressure Wound Therapy; D016038:Skin Transplantation / Q000379:methods*; D014945:Wound Healing
chemical_list: C532298:matriderm; D003094:Collagen; D004549:Elastin
keywords: abdominal wall reconstruction; matriderm