PMC4709968_01
Three disctinct dehiscences are evident along the surgical wound; the arrow indicates the one in which the defect entails all the layers of the abdominal wall
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PMC4709968_01_13052_2016_210_Fig1_HTML.jpg
Fig1
On post-operative day 7 the baby developed dehiscences (about 3 cm each) in three different sites of the surgical wound; in the left lateral side the dehiscence involved all the layers of the abdominal wall and an intestinal loop was visible protruding through the defect [Fig. 1].
Wound healing after 19 days of treatment. Two small granulomas are evident along the scar
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PMC4709968_01_13052_2016_210_Fig2_HTML.jpg
Fig2
After VAC dismission Aquacel (R) Foam Dressing (ConvaTec 100 Headquarters Park Dr Skillman New Jersey 08558 USA) was applied to the wound for 7 days until it was completely epithelialized [Fig. 2].
PMC4709968_02
The dehiscence involves the lower abdomen almost entirely. The defect extends to the fascia which appears intact. The arrow indicates the enteric fistula in the right flank
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PMC4709968_02_13052_2016_210_Fig3_HTML.jpg
Fig3
A few days after surgery a wide dehiscence of the surgical wound developed extending for 40 % of the abdominal wall surface [Fig. 3].
Same baby at one year follow up. The fistula has completely closed; a left incisional hernia is evident
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Fig4
Aquacel was applied for further 12 days until the fistula healed completely and the wound was completely epithelialized. At 1 year follow up the baby shows a left incisional hernia and the enterocutaneuos fistula is closed [Fig. 4].