title: [Abdominal traumatic evisceration: reconstruction abdominal wall with biologic mesh and negative pressure therapy].
abstract: BACKGROUND
  Abdominal traumatic evisceration as a result of high energy trauma is uncommon. Once repaired the possible internal damage, an abdominal wall defect of high complexity may exist, whose reconstruction represents a surgical challenge.
  
  
  METHODS
  Politraumatized male with important abdominal muculocutaneous avulsion and evisceration. After initial repair, the patient developed a big eventration in which we use a porcine dermis-derived mesh (PermacolTM), a safe and effective alternative in abdominal wall repair, thanks to its seamless integration with other tissues, even when exposed. Negative pressure therapy has been used for the management of wound complications after surgical implantation of PermacolTM mesh. We describe our experience with the use of PermacolTM mesh and negative pressure therapy to aid the wound closure after skin necrosis and exposed mesh.
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria.
authors.forename: M
authors.initials: M
authors.lastname: Jiménez Gómez
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria.
authors.forename: N
authors.initials: N
authors.lastname: Betancor Rivera
authors.affiliation: Servicio de Cirugía Plástica, Estética y Reparadora. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria.
authors.forename: J
authors.initials: J
authors.lastname: Lima Sánchez
authors.affiliation: Servicio de Cirugía General y del Aparato Digestivo. Hospital Universitario Insular de Gran Canaria. Las Palmas de Gran Canaria.
authors.forename: J R
authors.initials: JR
authors.lastname: Hernández Hernández
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D034861:Abdominal Wall / Q000601:surgery*; D001688:Biological Products / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D054843:Negative-Pressure Wound Therapy; D011183:Postoperative Complications / Q000601:surgery*; D019736:Prostheses and Implants; D013526:Surgical Mesh
chemical_list: D001688:Biological Products
keywords: Abdominal skin necrosis; Abdominal wall reconstruction; Negative pressure therapy; Permacol; Porcine dermis mesh