This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citing articles on Web of Science (12)  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Edward A. Luce, MD; Gordon Hyde, MD; Steven E. Gottlieb, MD; Sharon Romm, MD

Arch Surg. 1983;118(12):1446-1448.

Abstract
• A patient had full-thickness loss of abdominal wall from clostridial myonecrosis. Initial care consisted of resuscitation, débridement, and transfer to a hyperbaric chamber facility. After control of sepsis, multiple enteric fistulas were managed by enterotomies, gastric and duodenal defunctionalization with closed-loop gastrojejunostomy, gastrostomy, and end jejunostomy. Good nutritional status was maintained with total parenteral nutrition over a three-month period. Total abdominal wall reconstruction was accomplished by rotation of bilateral tensor fascia lata musculocutaneous flaps. Reconstruction was successful as the patient was able to return to an active life.

(Arch Surg 1983;118:1446-1448)

Author Affiliations
From the Divisions of Plastic Surgery (Drs Luce, Gottlieb, and Romm) and General Surgery (Dr Hyde), University of Kentucky Medical Center, Lexington.

Footnotes
Accepted for publication May 18, 1983.

Reprint requests to Division of Plastic Surgery, University of Kentucky Medical Center, 800 Rose St, MN275A, Lexington, KY 40536-0084 (Dr Luce).

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?