ABSTRACT

Open abdomen and delayed abdominal closure is occasionally required when conditions of the abdominal wall or peritoneal cavity prevent closure. Open abdomen and extensive abdominal defect are difficult problems in reconstructive surgery. In this report a 45 years old male patient who had decompressive laparotomy due to intra-abdominal infection and compartment syndrome was presented. During the open abdomen follow-up, abdominal skin and fascial necrotizing infection of abdominal wall occurred and extensive abdominal wall defect developed. For the abdominal wall restoration; component separation, fascial-release procedures were combined and abdominal skin defect was treated with lateral abdominoplasty technique.