Abstract:
:Proper management of abdominal compartment syndrome and open abdomen is important for improving the survival of critically ill patients. However, in cases requiring a prolonged period of open abdomen, it is frequently difficult to perform definitive fascial closure due to lateralization of the abdominal musculature. We herein present a novel combined technique for managing open abdomen. A 74-year-old male with diffuse peritonitis was transferred to our department, after which a long period of open abdomen made it difficult to achieve fascial closure. Polypropylene mesh was sutured to the fascial edges to reduce the gap, which was then serially tightened under negative pressure wound therapy. However, since it was not possible to accomplish definitive fascial closure, abdominal closure was performed using the bilateral anterior rectus abdominis sheath turnover flap method after removing the mesh, without any complications. This combined technique may be an effective alternative in patients requiring open abdomen with subsequent difficulty in achieving definitive fascial closure.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Arai M,Kushimoto S,Kim S,Masuno T,Hagiwara J,Ishii H,Yokota Hdoi
10.1007/s00595-015-1133-3subject
Has Abstractpub_date
2015-10-01 00:00:00pages
1335-9issue
10eissn
0941-1291issn
1436-2813pii
10.1007/s00595-015-1133-3journal_volume
45pub_type
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