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J Surg Case Rep. 2014 Jan 20;2014(1). doi: 10.1093/jscr/rjt133.

Component separation in abdominal trauma.

Journal of surgical case reports

Edward Rawstorne, Christopher J Smart, Simon A Fallis, Nigel Suggett

Affiliations

  1. Department of General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK [email protected].
  2. Department of General Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2TH, UK.

PMID: 24876334 PMCID: PMC3913436 DOI: 10.1093/jscr/rjt133

Abstract

Component separation is established for complex hernia repairs. This case presents early component separation and release of the anterior and posterior sheath to facilitate closure of the abdominal wall following emergency laparotomy, reinforcing the repair with a biological mesh. On Day 11 following an emergency laparotomy for penetrating trauma, this patient underwent component separation and release of the anterior and posterior sheath. An intra-abdominal biological mesh was secured, and the fascia and skin closed successfully. Primary abdominal closure can be achieved in patients with penetrating abdominal trauma with the use of component separation and insertion of intra-abdominal biological mesh, where standard closure is not possible.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2014.

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