Tension-reduced closure of large abdominal wall defect caused by shotgun wound:A case report  

作　　者：Yan Li Jia-Hua Xing Zheng Yang Yu-Jian Xu Xiang-Ye Yin Yuan Chi Yi-Chi Xu Yu-Di Han You-Bai Chen Yan Han 

机构地区：[1]Department of Plastic and Reconstructive Surgery,The First Medical Centre,Chinese People’s Liberation Army General Hospital,Beijing 100853,China [2]Medical School of Chinese People’s Liberation Army,Chinese People’s Liberation Army General Hospital,Beijing 100853,China [3]School of Medicine,Nankai University,Tianjin 300071,China

出　　处：《World Journal of Clinical Cases》2022年第29期10713-10720,共8页世界临床病例杂志

摘　　要：BACKGROUND Large abdominal wall defect(LAWD)caused by shotgun wound is rarely reported.CASE SUMMARY Herein,we describe a case of LAWD caused by a gunshot wound in which the abdominal wall was reconstructed in stages,including debridement,tensionreduced closure(TRC),and reconstruction with mesh and a free musculocutaneous flap.During a 3-year follow-up,the patient recovered well without hernia or other problems.CONCLUSION TRC is a practical approach for the temporary closure of LAWD,particularly in cases when one-stage abdominal wall restoration is unfeasible due to significant comorbidities.

关 键 词：Free flap SHOTGUN HERNIA Large abdominal wall defect Tension relief closure Mesh Case report 

分 类 号：R656[医药卫生—外科学]