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Pre-expanded epigastric flap cover for ventral hernia following fungal necrotizing fascitis of caesarian section wound: An unusual complication.
Indian Journal of Surgery 2010 July
INTRODUCTION: Reconstruction of anterior abdominal wall after necrotizing abdominal wall infections is a challenge.
MATERIAL AND METHODS: A 35-year-old lady presented with 20 × 18 cm sized defect of the anterior abdominal wall following fungal necrotizing fascitis. The defect was covered by an overlay prolene mesh and the soft tissue deficit was corrected by pre-expanded epigastric flap based on the superior epigastric artery.
CONCLUSION: A concerted multi-specialty effort is needed to correct these defects.
MATERIAL AND METHODS: A 35-year-old lady presented with 20 × 18 cm sized defect of the anterior abdominal wall following fungal necrotizing fascitis. The defect was covered by an overlay prolene mesh and the soft tissue deficit was corrected by pre-expanded epigastric flap based on the superior epigastric artery.
CONCLUSION: A concerted multi-specialty effort is needed to correct these defects.
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