Contaminated midline abdominal wounds are often left open and allowed to close via secondary intention to prevent surgical site infections. Negative pressure wound therapy (NPWT) devices have decreased time of healing by secondary intention when compared to the prior standard of moist dressings. The authors report a modification of NPWT that utilizes the unique characteristics of the negative ...

The paramount goal of soft tissue surgery is closure of wound flaps, in the absence of tension on the flaps, which will lead to optimal wound healing. Surgical procedures that require flap manipulation such as those used with traditional periodontal therapy, periodontal plastic cosmetic surgery, hard and soft tissue regeneration, and the excision of pathologic tissue require excellence in execu...

REASONS FOR PERFORMING STUDY Incisional drainage and suppuration occurs commonly following exploratory laparotomy; any technique with the potential to reduce the incidence of this complication warrants investigation. OBJECTIVES To determine if abandoning the use of subcutaneous sutures in laparotomy wound closure is safe and whether it reduces the risk of suppuration. METHODS A randomised c...

BACKGROUND Inability to close the abdominal wall after laparotomy for trauma may occur as a result of visceral edema, retroperitoneal hematoma, use of packing, and traumatic loss of tissue. Often life-saving, decompressive laparotomy and temporary abdominal closure require later restoration of anatomic continuity of the abdominal wall. METHODS The trauma registry, open abdomen database, and p...

Abdominal closure in children less than 10 kg following liver or kidney transplantation can be challenging. Excessive pressure attained from a tight closure can result in abdominal compartment syndrome, graft compromise and loss. Concerns over using prosthetic patches are that of infection and dehiscence. We report a series of definitive abdominal wall closure using a biodegradable membrane fro...

Management of a laparostomy wound is contentious. Specific pathologies like severe intraabdominal sepsis, trauma requiring damage control, abdominal compartment syndrome, staged abdominal repair and other complex abdominal pathologies can be managed with a novel technique of Vacuum Assisted Closure dressing. This device applies sub-atmospheric pressure that leads to reduced bowel wall edema, ba...

Fournier’s gangrene (FG) is a fulminant and lethal condition usually occurring in the immunocompromised, first described 1883 by French dermatologist Jean Alfred Fournier. It form of necrotizing fasciitis perineal, genitourinary perianal regions mostly males with mortality nearly 20-50%. surgical emergency requires early diagnosis aided scores such as laboratory risk indicator for necrotising (...

The study of wound closure is important for the advancement of medicinal applications in surgical scar healing, as well as initiation of tissue regeneration. Research on wound closure has primarily focused on vertebrate models, although the process is found throughout all animal groups. Non-vertebrate models provide efficient cost-effective tools for examining the general properties necessary f...