Document Detail


Total abdominal wall reconstruction.
MedLine Citation:
PMID:  6228206     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A patient had full-thickness loss of abdominal wall from clostridial myonecrosis. Initial care consisted of resuscitation, debridement, and transfer to a hyperbaric chamber facility. After control of sepsis, multiple enteric fistulas were managed by enterotomies, gastric and duodenal defunctionalization with closed-loop gastrojejunostomy, gastrostomy, and end jejunostomy. Good nutritional status was maintained with total parenteral nutrition over a three-month period. Total abdominal wall reconstruction was accomplished by rotation of bilateral tensor fascia lata musculocutaneous flaps. Reconstruction was successful as the patient was able to return to an active life.
Authors:
E A Luce; G Hyde; S E Gottlieb; S Romm
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  118     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1983 Dec 
Date Detail:
Created Date:  1984-01-07     Completed Date:  1984-01-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1446-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Abdominal Muscles / pathology,  surgery*
Clostridium Infections
Colectomy
Colostomy
Fascia Lata / transplantation
Humans
Ileostomy
Intestinal Polyps / surgery
Male
Middle Aged
Muscles / transplantation
Necrosis
Postoperative Complications / etiology
Skin Transplantation
Surgery, Plastic
Surgical Flaps
Surgical Wound Infection / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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