バイクハンドルによる腹部杙創で術後創哆開を来した1例〜創哆開の原因と手術術式の考察〜(A case of postoperative wound dehiscence following an abdominal impalement injury caused by a motorcycle handlebar: Discussion of the causes of dehiscence and the operative procedure)

Q: What does this research mean for the field?

In abdominal impalement injuries, overlapping the laparotomy incision with the subcutaneous injury site can contribute to wound dehiscence, suggesting that surgical incision designs should avoid damaged areas of the abdominal wall. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

N. Morita; 蛯原 健; 大井 和哉; Tomoya Hirose; 田浦 拓弥; Kazuhiro Yoneda; Jun Oda

doi:10.1002/jja2.13167

September 1, 2026Nihon Kyukyu Igakukai Zasshi Journal of Japanese Association for Acute MedicineOpen Access

バイクハンドルによる腹部杙創で術後創哆開を来した1例〜創哆開の原因と手術術式の考察〜(A case of postoperative wound dehiscence following an abdominal impalement injury caused by a motorcycle handlebar: Discussion of the causes of dehiscence and the operative procedure)

View Full Paper

Ask AI

Bookmark

Share

Key Points

To examine the causes of postoperative wound dehiscence following surgical repair of an abdominal impalement injury and evaluate optimal incision strategies.
Clinical evaluation and management of an 18-year-old male presenting with bowel evisceration following a lower abdominal impalement injury from a motorcycle handlebar.
Surgical intervention comprised emergency lower midline laparotomy, right hemicolectomy, temporary open abdomen management (OAM), and secondary abdominal closure.
Exploratory laparotomy revealed severe subcutaneous tissue crushing, rectus muscle penetration, cecal and ascending colon perforations, and retroperitoneal damage.
Definitive abdominal wall closure performed on hospital day 2 failed on day 7 due to rectus muscle necrosis, edema, and infection, requiring secondary skin-only closure on day 23.
Wound dehiscence was attributed to the anatomical overlap between the laparotomy incision and the blunt subcutaneous crushing zone caused by the handlebar.

Ask about this paper

Answers are grounded in this paper and cite their sources.

Implication

Case report demonstrates postoperative wound dehiscence after abdominal impalement injury, suggesting surgical incisions should avoid overlapping with extensively crushed tissue.

Abstract

No abstract yet. The journal hasn't published one we can show.

Discussion

No takes yet. Share an insight, caveat, or question.

Cite This Study

Morita et al. (2026) studied this question.

synapsesocial.com/papers/6a9935a0636c6408cfa7e129 https://doi.org/10.1002/jja2.13167

View Full Paper

Ask AI

Bookmark

Share

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Key Points

Ask about this paper

Implication

Abstract

Discussion

Cite This Study

Keep reading

Keep reading