13.10.2022 | Editorial Perspective
We Asked the Experts: Modified Mesh-Mediated Fascial Traction in the Management of the Open Abdomen
verfasst von:
Rodney Jacobs
Erschienen in:
World Journal of Surgery
|
Ausgabe 1/2023
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Excerpt
Laparostomy is a well-established method for managing surgical catastrophes either as a planned open abdomen for re-look laparotomy or because the initial pathology precludes closure of the midline. A similar management dilemma can occur when a patient has an acute fascial dehiscence, or “burst abdomen” following major surgery. Patients in this situation are typically critically ill with high abdominal pressures, poor nutrition, significant wound sepsis and possibly loss of abdominal domain. This makes it difficult to oppose and close the fascia. …