Abstract
Background: Closure of large abdominal-wall defects after abdominal trauma usually requires the employment of the components separation method. We discuss a case where the separation of the external and internal oblique muscles was difficult on the right side due to severe scarring and adhesion. Both components separation and multiple partitioning were performed for the reconstruction of the abdominal wall defect. Aim and objectives: This method allows bilateral fascia mobilization over a greater distance when it is difficult to achieve separation of the external and internal oblique muscles on both sides to the level of the mid-axillary line. Materials and Methods: A 60-year-old man underwent exploratory laparotomy at China Medical University Hospital for injuries sustained after a motor vehicle accident. The large abdominal fascia defect following laparotomy was corrected by using a combined approach of both components separation and multiple partitioning and primary fascia closure was achieved. Results: Eight months after abdominal wall reconstruction, the incision was well healed, there was no evidence of hernia, and the bowel functions were normal. Conclusion: The combined use of the components separation and multiple partitioning methods may be viable choice for abdominal fascia reconstruction in cases with severe scarring and adhesion between the external and internal oblique muscles.
Published Version
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