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Multidisciplinary approach for large retroperitoneal abscess management: A case report
Fekhaza Alfarissi1, Nandita Melati Putri2, Widi Atmoko1
1Department of Urology, Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital, Indonesia.
International Journal of Surgery Case Reports
|March 2, 2021
Summary
Retroperitoneal abscesses are rare and complex. This case demonstrates successful closure of a large defect using a lumbar artery perforator (LAP) flap after extensive debridement and wound bed preparation.
Area of Science:
- Surgical reconstruction
- Wound management
- Retroperitoneal diseases
Background:
- Retroperitoneal abscess is a rare condition often requiring complex, multidisciplinary management.
- Risk factors include prior genitourinary procedures and diabetes mellitus.
Observation:
- A 52-year-old female presented with flank pain and a retroperitoneal abscess involving abdominal muscles.
- Contrast CT confirmed a large abscess in the retroperitoneal region.
Findings:
- A multistage treatment approach included abscess debridement, honey-impregnated gauze, and negative pressure wound therapy (NPWT).
- Definitive closure was achieved using a lumbar artery perforator (LAP) flap and keystone flap.
- One-month follow-up indicated a satisfactory outcome.
Implications:
- This case highlights the successful application of LAP flaps for large flank defect reconstruction.
- Effective wound bed preparation is crucial for successful surgical closure in complex cases.
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