Fig. 4
![Fig. 4](http://media.springernature.com/full/springer-static/image/art%3A10.1186%2Fs40792-018-0453-0/MediaObjects/40792_2018_453_Fig4_HTML.gif)
Findings at the second operation. The gut was edematous and the wound could not be closed. Thus, mesh traction was performed. a The gut edema did not improve at all. b, c Medical form padding (intraperitoneal) was introduced and mesh fascial traction was performed. d We covered the mesh traction with medical form padding (outside)