PMC5328938_01
Open abdomen after abdominal tissue dehiscence.
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The patient presented dehiscence of cutaneous and subcutaneous abdominal layers (Fig. 1).
Free air in peritoneal cavity.
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A CT scan of the abdomen showed free air in peritoneal cavity surrounding the liver and spleen, especially in the epigastrium and mesogastrium (Fig. 2).
Multiple abscesses in pelvic cavity.
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Multiple confluent abscesses were identified in the right and left hypocondrium (the largest measured 52 mm x 35 mm) and in the pelvic cavity (with the largest of 26 mm x 25 mm) (Fig. 3).
Abdomen after the first days of the VAC   Therapy.
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Only after 4 weeks of NTP the patient achieved the formation of a clinically adequate granulation tissue (Fig. 4).
V.A.C.  GranuFoam  Dressings.
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This, combined whit the resolution of the septic state and a more stable hemodynamic status of the patient, allowed us to apply the conventional GranuFoam  Dressings (black polyurethane ether) (Fig. 5) to prosecute the NTP, stopping the washing of the wound bed.
Resolution.
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She continued VAC therapy for other 4 weeks on the ward until the complete closure of the abdominal wall (Fig. 6).