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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

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학술저널
저자정보
Bae, Sung Kyu (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) Kang, Seok Joo (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) Kim, Jin Woo (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) Kim, Young Hwan (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine) Sun, Hook (Department of Plastic and Reconstructive Surgery, Inje University Busan Paik Hospital, Inje University College of Medicine)
저널정보
대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제40권 제1호
발행연도
2013.1
수록면
28 - 35 (8page)

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Background If a chronically infected abdominal wound develops, complications such as peritonitis and an abdominal wall defect could occur. This could prolong the patient's hospital stay and increase the possibility of re-operation or another infection as well. For this reason, a solution for infection control is necessary. In this study, surgery using a rectus abdominis muscle myofascial splitting flap was performed on an abdominal wall defect. Methods From 2009 to 2012, 5 patients who underwent surgery due to ovarian rupture, cesarean section, or uterine myoma were chosen. In each case, during the first week after operation, the wound showed signs of infection. Surgery was chosen because the wounds did not resolve with dressing. Debridement was performed along the previous operation wound and dissection of the skin was performed to separate the skin and subcutaneous tissue from the attenuated rectus muscle and Scarpa's fascial layers. Once the anterior rectus sheath and muscle were adequately mobilized, the fascia and muscle flap were advanced medially so that the skin defect could be covered for reconstruction. Results Upon 3-week follow-up after a rectus abdominis myofascial splitting flap operation, no major complication occurred. In addition, all of the patients showed satisfaction in terms of function and esthetics at 3 to 6 months post-surgery. Conclusions Using a rectus abdominis myofascial splitting flap has many esthetic and functional benefits over previous methods of abdominal defect treatment, and notably, it enabled infection control by reconstruction using muscle.
#Abdominal wound closure techniques #Wound infection #Rectus abdominis

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참고문헌 (15)

참고문헌 신청
Philbeck TE Jr / 1999 / The clinical and cost effectiveness of externally applied negative pressure wound therapy in the treatment of wounds in home healthcare Medicare patients / Ostomy Wound Manage 45:41~50 google schola Abbott DE / 2008 / The oblique rectus abdominal myocutaneous flap for complex pelvic wound reconstruction / Dis Colon Rectum 51:1237~1241 google schola Tobin GR / 1990 / Refinements in vaginal reconstruction using rectus abdominis flaps / Clin Plast Surg 17:705~712 google schola Izadi K / 2005 / Chronic wounds / Clin Plast Surg 32:209~222 google schola Schultz GS / 2003 / Wound bed preparation: a systematic approach to wound management / Wound Repair Regen 11(1):S1~S28 google schola

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