Tension-reduced closure of large abdominal wall defect caused by shotgun wound: A case report
Yan Li1,2, Jia-Hua Xing1,3, Zheng Yang1,2
1Department of Plastic and Reconstructive Surgery, The First Medical Centre, Chinese People's Liberation Army General Hospital, Beijing 100853, China.
Background:
Large abdominal wall defect (LAWD) caused by shotgun wound is rarely reported.
Case Summary:
Herein, we describe a case of LAWD caused by a gunshot wound in which the abdominal wall was reconstructed in stages, including debridement, tension-reduced closure (TRC), and reconstruction with mesh and a free musculocutaneous flap. During a 3-year follow-up, the patient recovered well without hernia or other problems.
Conclusion:
TRC is a practical approach for the temporary closure of LAWD, particularly in cases when one-stage abdominal wall restoration is unfeasible due to significant comorbidities.
