title: Reconstruction option of abdominal wounds with large tissue defects.
abstract: BACKGROUND
  Abdominal wall defects result from trauma, abdominal wall tumors, necrotizing infections or complications of previous abdominal surgeries. Apart from cosmetics, abdominal wall defects have strong negative functional impact on the patients.Many different techniques exist for abdominal wall repair. Most problematic and troublesome are defects, where major part of abdominal wall had to be resected and tissue for transfer or reconstruction is absent.
  
  
  METHODS
  Authors of the article present operative technique, in which reconstruction of abdominal wall was managed by composite polypropylene mesh with absorbable collagen film, creation of granulation tissue with use of NPWT (negative pressure wound therapy), and subsequent split skin grafting.Three patients with massive abdominal wall defect were successfully managed and abdominal wall reconstruction was performed by mentioned technique. Functional and cosmetic effect is acceptable and patients have good postoperative quality of life.
  
  
  CONCLUSIONS
  Patients with giant abdominal defects can benefit from described technique. It serves as the only option, with which abdominal wall is fully reconstructed without need for the secondary intervention.
authors.affiliation: II,nd Surgical Clinic of Medical faculty Comenius University, University Hospital Bratislava, Hospital of st, Cyril and Methodius, Antolska 11, Bratislava 85107, Slovakia. matohuto@yahoo.com.
authors.forename: Martin
authors.initials: M
authors.lastname: Hutan
authors.forename: Christian
authors.initials: C
authors.lastname: Bartko
authors.forename: Ivan
authors.initials: I
authors.lastname: Majesky
authors.forename: Augustin
authors.initials: A
authors.lastname: Prochotsky
authors.forename: Jaroslav
authors.initials: J
authors.lastname: Sekac
authors.forename: Jan
authors.initials: J
authors.lastname: Skultety
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D005260:Female; D006555:Hernia, Ventral / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013526:Surgical Mesh
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