How I Treat: Abdominal Trauma Case Presentation

Myriad Morcells and Myriad Matrix Application in an Abdominal Trauma from HMP on Vimeo.

• 51-Year-old male.
• The patient sustained a full-thickness abdominal trauma due to a high velocity motor vehicle accident. Following surgery, the wound dehisced resulting in a 25cm x 4cm defect with significant loss of domain and which was not able to be surgically closed (Figure 1).

• The patient was admitted to the operating room for emergent laparotomy, diaphragm and bladder repairs, and a bowel resection.
• Myriad Morcells (1000 mg) was applied to the open area of the defect (Figure 2) followed by Myriad Matrix (3-layer, 10 x 20 cm) to bolster the Myriad Morcells (Figure 3). The defect was then covered by Adaptic™ and NPWT.

• Day 6. The Myriad products were well adhered with buds of granulation tissue observed as they integrated (Figure 4).
• Day 18. Significant granulation tissue observed with residual Myriad present on the defect surface (Figure 5)
• Week 5. Myriad had completely integrated, and granulation tissue had significantly filled the depth of the defect. Endoform Natural™ was applied to drive closure and prepare the surface for a split-thickness skin graft (STSG) (Figure 6)
• Week 6. Complete contour restoration achieved enabling the planned STSG to be placed (Figure 7).
• 4 months. The STSG had fully epithelialized, and the defect had closed. There were no complications or recurrence (Figure 8)

• Myriad Morcells and Myriad Matrix can be used to help rapidly build granulation tissue, particularly in deep, volumetric soft tissue defects, where it desirable to achieve contour restoration prior to application of a STSG as part of a staged reconstruction.

Myriad Morcells™, Myriad Matrix™ and Endoform™ are trademarks of Aroa Biosurgery Limited.

Dr Castater has a consultancy agreement with Aroa Biosurgery.
October 2022 | MKT.1848.00

This presentation is only intended for viewing by healthcare practitioners, is of general nature and does not contain medical advice. Results may vary. Not all devices are registered and approved for sale in all countries or regions and indications for use may vary by country or region. Please contact your local representative for more information.