A 54-year-old man had considerable visceral swelling after laparotomy for intraabdominal infection, and primary closure could not be achieved. We provided temporary abdominal closure with a presterilized 3-L cystoscopy fluid bag (Fig. 1). The following day we inserted a Wittmann Patch using a cellophane sheet to prevent adhesions between the intestine and the abdominal wall and wound. We suture...

Few descriptions of temporary abdominal closure for planned relaparotomy have been reported in burned patients. The purpose of this study is to describe our experience and outcomes in the management of burned patients with an open abdomen. The authors performed a retrospective review of all admissions to our burn center from March 2003 to June 2008, identifying patients treated by laparotomy wi...

OBJECTIVE Authors compare two groups of patients with open abdomen. The objective is to compare and evaluate two treatment modalities, namely Kern laparostomy and vacuum-assisted closure in terms of mortality, closure of abdominal wound, and fistula management, all these stratified by BMI and CRP. BACKGROUND Open abdomen can be considered a "patient salvage technique", used in patients with a...

The management of the open abdomen, particularly when complicated by the presence of intestinal fistula, remains a significant challenge of modern trauma care. Although several approaches have been proposed, these varied and complex cases defy the application of a universal approach to local therapy. Ultimately, abdominal closure is desired but is not always possible. Accordingly, surgeons must...

INTRODUCTION The open abdomen is a challenging condition and a temporary abdominal closure device is required in order to protect the intra-abdominal viscera. We aimed to evaluate the feasibility of a recent device: vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) after fascial dehiscence focusing on fascial closure rate, mortality and procedure-related complications. ...

A fistula is considered complex when abdominal connective tissue and fascia are lost due to infection or debridement, exposure to caustic substances or retraction, as seen in the prolonged open abdomen. These fistulae are essentially enteroatmospheric, because they have no corresponding abdominal wall fat or fascia between the bowel lumen and the outside world. They often occur after bowel is e...

Appropriate wound healing is a crucial phase of surgical patients’ management, as it facilitates early mobilization and return to everyday life. Also, required before offering patients the next treatment. Surgical closure techniques have evolved remarkably; they include simple sutures, clips, adhesive compounds. Some appliances are used support closed wounds assist abdominal wall muscles’ movem...

BACKGROUND Wound infection affects a considerable portion of patients after abdominal operations, increasing health care costs and postoperative morbidity and affecting quality of life. Antibacterial coating has been suggested as an effective measure to decrease postoperative wound infections after laparotomies. The INLINE metaanalysis has recently shown the superiority of a slowly absorbable c...