PMC4978101_01
Image showing transected jejunal and colonic loops during the first stage operation.
41038_2013_10030144_Fig1.jpg
PMC4978101_01_41038_2013_10030144_Fig1.jpg
Fig1
There was complete transection of jejunum about 2.5 feet distal to duodenojejunal flexure and mesentery at that level was incompletely transected with bleeding [Figure 1].
Image showing ingavulsed skin with tyre mark and drains after the first stage operation.
41038_2013_10030144_Fig2.jpg
PMC4978101_01_41038_2013_10030144_Fig2.jpg
Fig2
After abdominal wound debridement, defect was covered temporarily with urobag (urine collecting bag) by taking continuous sutures with margin of defect and urobag [Figure 2].
Image showing necrosis of avulsed skin before second stage operation.
41038_2013_10030144_Fig3.jpg
PMC4978101_01_41038_2013_10030144_Fig3.jpg
Fig3
In postoperative period, patient developed necrosis of avulsed skin [Figure 3].
Image showing vicryl meshes being put over granulation tissue after the second stage operation.
41038_2013_10030144_Fig4.jpg
PMC4978101_01_41038_2013_10030144_Fig4.jpg
Fig4
Two vicryl meshes of 15 x 15 cm size were used to give the strength to the granulation tissue [Figure 4].
Two weeks after skin grafting (Third stage operation).
41038_2013_10030144_Fig5.jpg
PMC4978101_01_41038_2013_10030144_Fig5.jpg
Fig5
On day 37th, split skin grafting was done over healthy granulation tissue that was taken up very well [Figure 5].