Application in an Abdominal Trauma
Christine Castater, MD
General Surgery – Acute Care and Trauma | WellStar Kennestone Marietta, GA
Pre-operative Assessment
Post STSG – 4 Month Follow-up
Results
- Volumetric fill of the defect with a single application of Myriad
- STSG at 6 weeks (using Endoform to prepare wound bed)
- 4-month follow-up showed no complications nor recurrence
Patient details
51-year-old male
Medical history
No notable history
Case details
- Description: Full thickness wound due to high velocity motor vehicle accident
- Approximate size: 25 cm x 4 cm
- Etiology: Loss of domain surgical wound
- Initial procedures: Emergent laparotomy, diaphragm repair, bladder repair, bowel resection
Application photos
Pre-operative Assessment
- Significant loss of abdominal domain – unable to close primarily
Morcells Application - Week 0
- Applied Myriad Morcells (1000 mg), rehydrated in situ with sterile saline
Matrix Application - Week 0
- Applied Myriad Matrix (3-Layer, 10 x 20 cm) to bolster the Morcells and provide additional cover and fill defect depth
Day 6
- Graft well adhered
- Budding granulation tissue noted
- No complications
Day 18
- Graft well adhered
- Significant granulation tissue noted
- Residual Myriad graft present on the tissue surface
Week 5
- Graft integrated
- Granulation tissue filling in depth of wound
- No complications
- Endoform Natural used to prepare tissue for STSG
Week 6
- Granulation tissue filling in depth of wound
- No complications
- Plan for STSG for definitive closure
4 Month Follow-up
- STSG fully epithelialized and defect closed
- No complications or recurrence
Results may vary. Dr. Castater has a consultancy agreement with Aroa Biosurgery Limited.
