The temporary abdominal closure with sequential anterolateral thigh flap for reconstructing abdominal wall huge defect after electric burn
10.3760/cma.j.cn114453-20200917-00503
- VernacularTitle:暂时性腹腔关闭技术与股前外侧皮瓣序贯治疗电烧伤腹壁巨大缺损
- Author:
Jun WANG
1
;
Yunchuan PAN
;
Gang JING
Author Information
1. 海南省人民医院(海南医学院附属海南医院)烧伤与皮肤修复外科，海口 570311
- Keywords:
Surgical flaps;
Temporary abdominal closure;
Anterolateral thigh flap;
Tensor fasciae latae;
Abdominal wall defect;
Reconstruction
- From:
Chinese Journal of Plastic Surgery
2022;38(2):132-137
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the clinical validity of adopting temporary abdominal closure and anterolateral thigh flap for the sequential treatment of abdominal wall defect caused by electric burn.Methods:From June 2009 to June 2019, patients with large abdominal wall defect after electric burn were included in the Department of Burn and Skin Repair Surgery, Hainan General Hospital. The abdominal cavity was temporarily closed by xenogeneic acellular dermal matrix (ADM)+ vacuum sealing drainage (VSD) to protect the abdominal organs. After the abdominal organ injury were recovered, the anterolateral thigh flap(ALTF) and tensor fasciae latae free flaps was used to repair and reconstruct the abdominal wall sequentially. The patients were followed up to observe whether there were abdominal wall ulcers or ventral hernias, and whether there were complications such as intestinal obstruction or intestinal perforation.Results:A total of 5 patients were included, all male, aged 20-57 years, with an average of 37.4 years. All of them were suffered from different degrees of electrical injury in other regions, and even with abdominal organ injury. The area of abdominal wall defect was about 18 cm×12 cm -22 cm×14 cm. In this group of patients, after temporary abdominal closure, the abdominal organs injury healed, ALTF and tensor fasciae latae free flaps survived well, and the abdominal wall was repaired and reconstructed in appearance and function. During the follow-up period of 6 to 36 months, no complications such as abdominal wall ulcer and hernia appeared.Conclusions:Temporary abdominal closure and ALTF used for treating large abdominal wall defect of electrical burns sequentially rendered effective with few complications. It is a novel method for repairing and reconstructing of large abdominal wall defect.
