Reconstruction of a Large Abdominal Tissue Defect with Composite Tissue Using Autologous Dermis-Vicryl-Skin Sandwich Graft

摘要

Patients who require repetitive peritoneal washings over prolonged periods of time may develop massive adhesions and fibrosis of the entire intestinal tract. At this time, the abdominal wall is often dehiscent and adherent to the intestinum laterally, thus presenting a large structural defect. If reconstruction of the abdominal wall is not feasible, skin grafting remains the only means of wound closure. Sometimes, however, the magnitude of the defect necessitates a more mechanically stable wound closure to be able to mobilize the patient