Case report| Volume 65, ISSUE 3, e71-e73, March 2012

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Abdominal wall reconstruction after extensive abdominal wall necrosis resulting from chevron incision for liver transplant and subsequent Y-shaped incision for re-transplantation – Clinical experience and literature review

Published:November 24, 2011DOI:


      Extensive Abdominal wall necrosis is a devastating complication. In visceral transplant patients a quick and easy to perform reconstructive technique may be crucial for patient survival. Based on a clinical case a literature review is performed including a thorough analysis of abdominal wall perfusion and surgical options for defect closure are presented and critically appraised.


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        • Rieger U.M.
        • Erba P.
        • Kalbermatten D.F.
        • Schaefer D.J.
        • Pierer G.
        • Haug M.
        An individualized approach to abdominoplasty in the presence of bilateral subcostal scars after open gastric bypass.
        Obes Surg. 2008 Jul; 18: 863-869
        • Rieger U.M.
        • Heider I.
        • Bauer T.
        • Hussl H.
        • Schoeller T.
        • Pierer G.
        Treatment algorithm for abdomino-torso body contouring in massive weight-loss patients in the presence of scars – a comprehensive review.
        J Plast Reconstr Aesthet Surg. 2010 Aug; 13 ([Epub ahead of print])
        • Johnson D.Y.
        • Johnson F.E.
        • Barner H.B.
        Abdominal wall necrosis after harvest of both internal thoracic and inferior epigastric arteries.
        Ann Thorac Surg. 2011 Jan; 91: 38-41
        • Grevious M.A.
        • Iqbal R.
        • Raofi V.
        • et al.
        Staged approach for abdominal wound closure following combined liver and intestinal transplantation from living donors in pediatric patients.
        Pediatr Transplant. 2009 Mar; 13: 177-181
        • Carlsen B.T.
        • Farmer D.G.
        • Busuttil R.W.
        • Miller T.A.
        • Rudkin G.H.
        Incidence and management of abdominal wall defects after intestinal and multivisceral transplantation.
        Plast Reconstr Surg. 2007 Apr 1; 119 (discussion 1256–8): 1247-1255
        • Olvera-Caballero C.
        • Victoria-Morales G.
        Neurovascular latissimus dorsi free-flap transfer for reconstruction of a major abdominal-wall defect in a 13-month-old child: late follow-up.
        J Reconstr Microsurg. 2004 Apr; 20: 237-240
        • Luce E.A.
        • Hyde G.
        • Gottlieb S.E.
        • Romm S.
        Total abdominal wall reconstruction.
        Arch Surg. 1983 Dec; 118: 1446-1448
        • Ammaturo C.
        • Bassi U.A.
        • Bassi G.
        Outcomes of the open mesh repair of large incisional hernias using an intraperitoneal composite mesh: our experience with 100 cases.
        Updates Surg. 2010 Aug; 62: 55-61