This patient had a hernia repair about six days before my arrival at an outside clinic. The patient developed an enterocutaneous fistula from the cecum due to a surgical error. I operated on the patient two days ago and did a right hemicolectomy and debridement of the anterior abdominal wall due to necrotizing fasciitis. We took him back to surgery today and he had necrosis the right side of the abdominal wall. We debrided the dead tissue and closed the abdomen with Vicryl mesh. We will do a more definitive repair if he survives.
|Lower portion of picture shows loss of abdominal wall. |
Rectus muscle is exposed.
|Abdomen closed with Vicryl mesh|