An abdominal wound dressing and methods of use are described that enable the application of negative pressure to the wound site in a healing manner while also limiting the formation of adhesions that would prevent the removal of the dressing. The method comprises providing a flexible film having a plurality of holes therein and placing the flexible film in the wound. The flexible film has a first, patient-facing side and a second side. The method includes placing a porous pad on top of the second side of the flexible film. The flexible film and porous pad are sealed within the wound with a drape that is positioned in contact with an area of skin surrounding the wound. A negative pressure is provided to the porous pad for drawing a flow of exuded fluids from the wound.
