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Delayed open abdomen closure using a combination of acellular dermal matrix and skin graft in Korea: a case report
Yoonseob Kim, Tae Ah Kim, Hyung Min Hahn, Byung Hee Kang
J Trauma Inj. 2023;36(2):152-156.   Published online November 4, 2022
DOI: https://doi.org/10.20408/jti.2022.0024
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AbstractAbstract PDF
Delayed closure of an open abdomen (OA) is a clinically challenging task despite its various modalities. It is substantially more difficult when the duration of OA treatment is prolonged due to a patient’s condition. We introduced the management of a patient who had a delayed OA treatment spanning approximately 3 months due to severe abdominal contamination. The 64-year-old male patient had an injured pelvis pressed by a road roller. After visiting a trauma center, the patient initially underwent damage control surgery and OA management; however, early primary abdominal closure failed due to severe peritonitis. After negative pressure wound therapy for several months, an acellular dermal matrix graft followed by a skin graft were successfully used as treatments. A combination of acellular dermal matrix graft, negative pressure wound therapy, and skin graft techniques is a considerable management sequence for patients subjected to delayed OA treatment.
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Splenic Autotransplantation after Blunt Spleen Injury in Children
Hojun Lee, Byung Hee Kang, Junsik Kwon, John Cook-Jong Lee
J Trauma Inj. 2018;31(2):87-90.   Published online August 31, 2018
DOI: https://doi.org/10.20408/jti.2018.31.2.87
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  • 1 Citations
AbstractAbstract PDF

Non-operative management has been preferred in blunt spleen injury. Moreover children are more susceptible to post-splenectomy infection, spleen should be preserved if possible. However, splenectomy is inevitable to patients with severe splenic injury. Therefore splenic autotransplantation could be the last chance for preserving splenic function in these patients although efficacy has not proven. Here we reported four cases of children who were underwent splenic autotransplantation successfully after blunt trauma.

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Citations

Citations to this article as recorded by  
  • Stumpfes Bauchtrauma bei Kindern und Jugendlichen: Behandlungskonzepte in der Akutphase
    M. C. Schunn, J. Schäfer, F. Neunhoeffer, J. Lieber, J. Fuchs
    Die Chirurgie.2023; 94(7): 651.     CrossRef

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