title: Case Report: Local skin flap with vacuum-seal drainage to facilitate healing of ACS.
abstract: The purpose of this study was to analyze the therapy of a severe abdominal compartment syndrome (ACS) to elucidate the use of an abdominal advanced flap with other supportive measures for restoration of large defects of the abdominal wall. A patient presented with a large defect of the abdominal wall caused by ACS, which had resulted from multiple injuries after a fall from height. Healing of the defect was achieved by transplantation of an abdominal advanced flap and other supportive strategies. All of the treatment measures are presented to demonstrate complicated treatment procedures for closure of large defects of the abdominal wall. An abdominal advanced flap combined with other supportive measures was successfully applied in the healing process of ACS. This study examined the treatment of a case of ACS caused by severe abdominal trauma. The results demonstrated that a large defect of the abdominal wall caused by ACS should be closed as early as possible, and an abdominal advanced flap combined with complex supportive measures can be a recommended strategy for closing large defects of the abdominal wall.
authors.affiliation: Emergency Department, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, China.
authors.forename: R B
authors.initials: RB
authors.lastname: Luo
authors.affiliation: Emergency Department, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, China.
authors.forename: Y A
authors.initials: YA
authors.lastname: Xu
authors.affiliation: Emergency Department, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, China.
authors.forename: H M
authors.initials: HM
authors.lastname: Zhong
authors.affiliation: Emergency Department, Second Affiliated Hospital, Zhejiang University College of Medicine, Hangzhou, Zhejiang, China YufangZhangcn@126.com.
authors.forename: Y F
authors.initials: YF
authors.lastname: Zhang
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D004322:Drainage; D006801:Humans; D059325:Intra-Abdominal Hypertension / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013524:Surgical Flaps; D014945:Wound Healing