Background: Large abdominal wall defect (LAWD) caused by shotgun wound is rarely reported.

Case Summary: Herein, we describe a case of LAWD caused by a gunshot wound in which the abdominal wall was reconstructed in stages, including debridement, tension-reduced closure (TRC), and reconstruction with mesh and a free musculocutaneous flap. During a 3-year follow-up, the patient recovered well without hernia or other problems.

Conclusion: TRC is a practical approach for the temporary closure of LAWD, particularly in cases when one-stage abdominal wall restoration is unfeasible due to significant comorbidities.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9602223PMC
http://dx.doi.org/10.12998/wjcc.v10.i29.10713DOI Listing

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