Closure of the abdomen by mesh for planned re-laparotomy. A technical modification.

Abstract:

:Temporary closure of the abdomen with a synthetic mesh and multiple planned relaparotomies are the essentials of the modern strategy for treating severe intra-abdominal sepsis or pancreatic necrosis. One of the complications associated with mesh closure of the abdomen is facial necrosis at the wound edges leading to evisceration. Tension of the strictures between mesh and facia called local ischemia, which combined with infection leads to the facial disintegration and separation of the mesh from the abdominal wall. A modified technique of suturing the mesh was developed in our department and its technical details are presented. Twenty-four patients treated with the "open abdominal technique and planned relaparotomies" are presented. The new technique was used in 9 patients for closure of evisceration after mesh separation.

journal_name

Int Surg

journal_title

International surgery

authors

Schwartz A,Onaca N,Rabi I,Bass A

subject

Has Abstract

pub_date

1997-01-01 00:00:00

pages

42-3

issue

1

eissn

0020-8868

issn

2520-2456

journal_volume

82

pub_type

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