Combined use of homologous fascia lata graft and acellular dermal substitute for the repair of a complex abdominal wound

Abstract

Full-thickness abdominal wall defects complicated with bowel exposure require a stable reconstruction that may be achieved with mesh repair, muscle rotational flaps, pedicled flaps, freeflaps or any combination of these techniques. We present a case report of a complex abdominal wound caused by a gunshot trauma in an elderly patient. His general health condition and local disruption of the left rectus, external, internal oblique and transverse abdominis muscles prevent local flaps or major surgical reconstruction procedures. The combined use in multiple stages of a homologous fascia lata graft, negative pressure therapy and acellular dermal substitute template followed by skin graft allowed stable wound healing.