PMC7566207_01
Complete wound dehiscence.
gr1.jpg
PMC7566207_01_gr1.jpg
fig0005
Notably, the patient experienced complete wound dehiscence (Fig. 1) at 24 days post admission.
Abdominal dressing allowing isolation of the open abdomen and the gastrostomy.
gr2.jpg
PMC7566207_01_gr2.jpg
fig0010
This was consequently managed with a negative pressure dressing, in order to protect the skin from further contact with bile (Fig. 2).
Complete granulation of the retroperitoneum ready for skin grafting.
gr3.jpg
PMC7566207_01_gr3.jpg
fig0015
Using a donor site from the right inner thigh, the graft was applied to the granulating retroperitoneum (Fig. 3) and secured with staples, with an overlying VAC dressing.