Dlee
New
Patient had previously been in surgery for prolapsed rectum. Age and long term steroid use are co-morbidities. Patient was taken back into surgery when mid portion of wound opened, shoing extruded small bowel, which had been covered by Wound VAC. Staples had not held with a complete separation of stitches from right side of rectus anterior fasica. Following is direct quote from surg report:
"A FlexHD mesh was chosen for the size of the orifice. A 6 X 16 cm and the corners were cutoff to allow for placement in a nontension type of closure. Each side was then sutured with a running continuous stitch of 2-0 Prolene incorporating the anterior rectus fascia with the edge of the FlexHD mesh. Once the entire construct had been closed, the area was again irrigated copiously and a wound VAC was placed with white foam against the FlexHD and then black foam to fill the rest of the abdominal wall to the edge of the skin."
Any suggestions?
"A FlexHD mesh was chosen for the size of the orifice. A 6 X 16 cm and the corners were cutoff to allow for placement in a nontension type of closure. Each side was then sutured with a running continuous stitch of 2-0 Prolene incorporating the anterior rectus fascia with the edge of the FlexHD mesh. Once the entire construct had been closed, the area was again irrigated copiously and a wound VAC was placed with white foam against the FlexHD and then black foam to fill the rest of the abdominal wall to the edge of the skin."
Any suggestions?
