Subcutaneous Wound Management in Complex, Contaminated Abdominal Wall Reconstruction (AWR) – The “French Fry” Technique
) underwent FFT. Biologic mesh was placed in 74.1% of cases; 18.5% of defects were closed primarily. Fascial closure was achieved in 92.6%. CeDAR-predicted wound complication rate was 53.8%. Observed wound complication rate was 25.9%, including infection (14.8%) requiring intervention, with 7.4% requiring reopening of their wounds. There were no mesh infections and no hernia recurrences over average follow-up of 8.2 ± 19.8 months.ConclusionFFT is a practical, single-stage, strategy for contaminated AWR, reducing complications compared to predicted risk.
Authors
- Alynna J Wiley
- Lucy Hinton (ORCID: https://orcid.org/0000-0002-8343-9873)
- Sullivan A. Ayuso (ORCID: https://orcid.org/0000-0002-8722-4669)
- Victoria L. Walker
- Gregory T Scarola
- Samantha W Kerr
- B Todd Heniford
Institutions
- Baptist College of Health Sciences (US)
- Carolinas Medical Center (US)
- Brookwood Baptist Health (US)
- The University of Texas at Austin (US)
Publication Details
- Journal
- The American Surgeon
- Published
- 2026-04-30
- DOI
- https://doi.org/10.1177/00031348261448885
- Primary Topic
- Hernia repair and management
- Type
- article
- Field-Weighted Citation Impact
- 0.00