Abdominal Closure Using Bipedicle Skin Flap for Abdominal Compartment Syndrome Associated with Acute Pancreatitis—A Report of Two Cases

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 81; no. 7; pp. 1407 - 1412
• Main Authors: MIYAZAKI, Dai, IIMURA, Yasuaki, FUKUDA, Naoya, SATO, Nagato, HASEGAWA, Naoto, HIRANO, Satoshi
• Format: Journal Article
• Language: Japanese
• Published: Japan Surgical Association 2020
• Subjects: abdominal compartment syndrome; acute pancreatitis; skin flap
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.81.1407

Case 1 : A 78-year-old woman was transferred to our hospital on an emergency basis, with a diagnosis of gallstone pancreatitis. One day after admission, she developed abdominal compartment syndrome (ACS) and required emergency laparotomy for decompression. On postoperative day 14, cholecystectomy and abdominal wall closure using bipedicle flaps, made by shifting bilateral strips of skin were performed, and the abdomen was closed. Case 2 : A 39-year-old Russian man was transferred urgently to our hospital with a diagnosis of severe acute pancreatitis. He developed ACS the day after admission and required emergency laparotomy for decompression. Fifty-two days after the operation, the abdominal wall was closed in the same manner as the former case.Abdominal closure after open abdominal management for ACS is sometimes difficult if the abdominal wall dehiscence is large ; however, this technique makes it possible to close the abdominal wall.