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Hernia
Erschienen in: Hernia 2/2020

09.04.2019 | How-I-Do-It

Novel method for delayed primary closure and incisional hernia prevention in open abdomen: COmbined and MOdified Definitive Abdominal wall closure (COMODA)

verfasst von: R. Villalobos Mori, Y. Maestre González, Mª Mias Carballal, C. Gas Ruiz, G. Protti Ruiz, A. Escartin Arias, J. J. Olsina Kissler

Erschienen in: Hernia | Ausgabe 2/2020

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Abstract

Background

Intended open abdomen is an option in cases of trauma and non-trauma patients. Nevertheless, after primary closure, incisional hernia rate is high. We describe a novel method, called COmbined and MOdified Definitive Abdominal closure (COMODA), a delayed primary closure which prevents incisional hernia.

Methods

A negative pressure wound therapy system is combined with a condensed polytetrafluoroethylene (cPTFE) mesh. Trial registration: ISRCTN72678033.

Results

Ten male patients with a median age of 68.8 (43–87) years were included. Primary closure rate was 100% per protocol. The median number of procedures per patient was 5.7 (5–9). Primary closure was obtained in 20.8 (10–32) days and median hospital stay was 36.3 (18–52) days. Only one patient developed incisional hernia during a median follow-up of 27 (8–60) months.

Conclusion

COMODA method allows for a high rate of delayed primary closure. It is safe and decreases the risk for developing an incisional hernia. However, a large number of patients are needed to support this conclusion.
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Metadaten
Titel
Novel method for delayed primary closure and incisional hernia prevention in open abdomen: COmbined and MOdified Definitive Abdominal wall closure (COMODA)
verfasst von
R. Villalobos Mori
Y. Maestre González
Mª Mias Carballal
C. Gas Ruiz
G. Protti Ruiz
A. Escartin Arias
J. J. Olsina Kissler
Publikationsdatum
09.04.2019
Verlag
Springer Paris
Erschienen in
Hernia / Ausgabe 2/2020
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI
https://doi.org/10.1007/s10029-019-01948-2

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