Surgical management of abdominal wall disruption after blunt XXXX .

@entity1 @entity174 @entity2896 @entity392 @entity130
Abdominal wall disruption following blunt @entity130 is a rare but challenging injury, both in the acute and convalescent phases. The present report describes the recent experience with this injury at a single adult @entity130 center. In a 22-month period, nine @entity1 with traumatic abdominal wall disruption were managed. Flank and anteroinferior abdominal wall defects were most common. Associated injuries included 6 @entity1 with a pelvic @entity174 and 4 @entity1 with @entity130 . Immediate primary repair of the defect was attempted in seven cases at the time of @entity130 laparotomy, but was difficult and often unsuccessful because of the related tissue destruction. Delayed abdominal wall repair was performed in @entity1 with symptomatic disability (n = 5) and, if required, restoration of intestinal continuity was performed at a separate operation before abdominal wall repair. Delayed repair with autogenous tissue included the use of @entity392 , rectus femoris muscle, @entity2896 , and latissimus dorsi muscle. Reconstruction with prosthetic mesh was required in two @entity1 . One early and one late recurrence occurred, resulting in reoperation. In conclusion, traumatic abdominal wall disruption represents a complex challenge for both general and plastic surgeons. The key to successful surgical management seems to be a delayed staged repair with autogenous tissue when feasible.
