PMC6104591_01
Intraoperative image demonstrating area of panniculectomy. Cranial is on the left side of the image. Caudal is on the right side.
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Due to the large defect in a grossly contaminated field, the wound, including skin and subcutaneous space was left open (Fig. 1).
Post-operative Day #5 demonstrating close re-approximation of the wound with ABRA  device.
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Day 4 post doxycycline wound VAC application. This image shows four retention sutures on both sides of open abdominal wound present; staples present on lateral edges of incision; open wound approximately 16.5 x 5 cm - beefy red with no purulent drainage; site of point tenderness proximal to open wound; bowel sounds present.
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Dimensions and apposition of surfaces made adherent by the sclerosant (Fig. 3).
Shows wound size reduced dramatically from 16.5 cm x 5 cm to 7 cm x 1 cm in the office visit after one month of the ER visit.
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The open wound had reduced dramatically from 16.5 cm x 5 cm in the ER visit to 7 cm x 1 cm (Fig. 4).
Substantial wound healing five months after the first Doxycycline sclerotherapy.
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