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Defects of skin on the abdominal wall are usually easy to treat. If the full thickness of the abdominal wall is missing, however, complex maneuvers will be needed. Tumor resection of major trauma may leave the vital abdominal organs without cover. In these cases, major tissue transfers will provide thick, protective, natural cover and return of normal intestinal function.
This patient was left with a large defect of the central abdominal wall after a close range, high powered gunshot wound. A broad area of intestine is exposed.
This shows a microvascular free flap of skin, fat and muscle, which was taken from the back and placed over the defect. The blood vessels of this flap werre connected to vessels in the patient's right groin.
This is the reconstruction at the end of the operative procedure.
This is the healed reconstruction.
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