A significant proportion of patients with severe intra-abdominal sepsis are managed by leaving the peritoneal cavity open in an attempt to control the infective process, regardless of aetiology. However, a considerable number of these patients develop enterocutaneous fistulae, which compound the clinical situation and delay closure of the peritoneal cavity. We propose a new method of dealing wi...

Hydrocele of spermatic cord is caused by defect in closure of the processus vaginalis, as the testicles descend into the scrotum during foetal development. It usually occurs in infancy and childhood. There are two types of hydrocele of spermatic cord. Encysted type is caused by defective closure at both proximal and distal ends of processus vaginalis and it does not communicate with the periton...

OBJECTIVE To determine whether active negative pressure peritoneal therapy with the ABThera temporary abdominal closure device reduces systemic inflammation after abbreviated laparotomy. BACKGROUND Excessive systemic inflammation after abdominal injury or intra-abdominal sepsis is associated with poor outcomes. METHODS We conducted a single-center, randomized controlled trial. Forty-five ad...

BACKGROUND AND OBJECTIVES Collagen solder is capable of fixation of surgical meshes during laparoscopic herniorrhaphy without compromising tissue integration, increasing adhesions or inflammation. This pilot study describes development of instrumentation and techniques for transabdominal preperitoneal (TAPP) herniorrhaphy using laser-assisted soldering technology. METHODS Anesthetized 20-kg t...

Many gynaecologists do not currently close the peritoneum after caesarean section (CS). Recently, several studies examining adhesion formation after repeat CS appear to favour closure of the peritoneum after caesarean section. We performed a systematic review of the current available evidence with regard to the long-term outcome, mainly in terms of adhesion formation after closure versus non-cl...

Key Points: • Closed peritoneal drainage is indicated if the source of peritonitis can be identified and surgically corrected. • Open peritoneal drainage is indicated in cases where the source of contamination cannot be identified, contamination is severe or longstanding or the virulence of organisms is high. • Vacuum assisted closure is a relatively new concept in veterinary medicine that can ...

Objectives: To assess the short term morbidity of non-closure of the visceral and parietal peritoneal at caesarean section as compared to suture peritonization. Methods: A prospective randomized controlled trial of 200 women undergoing cesarean section was done; randomized into non-closure and closure groups. Perioperative, intraoperative and postoperative details were recorded in the proforma....