Abstract
An 85-year-old woman with two enterocutaneous fistulae in the right upper and lower abdomen and a mesh infection in the upper abdomen required the modified components separation method for a large fascial defect. After the resection of the enterocutaneous fistulae and the infected mesh, a large fascial defect (12 cm in diameter) was observed. First, the aponeurosis of the external oblique muscle was transected longitudinally. Next, the anterior rectus sheath was transected longitudinally, was mobilized to medially, and then sutured. Though the operative wound was partially ischemic after the operation, the ischemia improved with conservative treatment. There has been no recurrence during 18 months of follow-up. The modified components separation method for a large fascial defect appears to be effective in contaminated cases.
