抄録
We herein report a case of successful minimally invasive abdominal wall reconstruction in a 37-year-old female patient who developed severe peritonitis associated with hemolysis, elevated liver enzymes, and low platelet count syndrome after a cesarean section. This outcome was achieved by combining open abdominal management using the ABTHERA™ dressing system with rectus sheath reconstruction. On postoperative day 9, relaparotomy was performed because of intra-abdominal hematoma and abscess formation. A total hysterectomy with abscess drainage was performed. The ABTHERA™ system was used for open-abdomen management. Definitive abdominal wall reconstruction using the anterior rectus sheath was performed with wound closure on postoperative day 19. This approach may represent a practical option for abdominal wall reconstruction in critically ill patients with contaminated surgical fields.
(a) On postoperative day 9 at the initial consultation, the rectus abdominis muscle was partially damaged, and the bowel was significantly edematous, thus making primary wound closure impossible. (b) The ABTHERA™ negative-pressure wound therapy system was applied to the open abdomen for temporary abdominal closure and wound management.
