Abstract Open abdomen (OA) has been an effective treatment for abdominal catastrophes in traumatic and general surgery. However, management of patients with OA remains a formidable task for surgeons. The central goal of OA is closure of fascial defect as early as is clinically feasible without precipitating abdominal compartment syndrome. Historically, techniques such as packing, mesh, and vacuum-assisted closure have been developed to assist temporary abdominal closure, and techniques such as components separation, mesh-mediated traction, bridging fascial defect with permanent synthetic mesh, or biologic mesh have also been attempted to achieve early primary fascial closure, either alone or in combined use.

The objective of this review is to present the challenges of these techniques for OA with a goal of early primary fascial closure, when the patient’s physiological condition allows.

BACKGROUND: Abdominal compartment syndrome is frequently the result of aggressive fluid resuscitation after burn. Management of the open abdomen following decompressive celiotomy is a major problem. METHODS: From 2004 to mid-2005, six patients required decompressive celiotomy after developing abdominal compartment syndrome as a result of burn. A Wittmann Patch as used to close the abdominal wound. Patients were re-explored when clinical parameters improved and the abdomen was closed, with long-term follow-up for the abdominal wound.

Kode nsp labaik allahummah. • หมวดหมู่ • • แนะนำโดย AwakeningRecordsLTD • • เพลง • • ศิลปิน • Maher Zain • อัลบั้ม • Forgive Me • YouTube ได้รับอนุญาตจาก • AwakeningRecordsLTD (ในนามของ Awakening Records); ASCAP, Muserk Rights Management และสมาคมจัดเก็บค่าลิขสิทธิ์เพลง 15 แห่ง • • • เพลง • Assalamu Alayka (Arabic Version - Bonus Track) • ศิลปิน • Maher Zain • อัลบั้ม • Forgive Me • YouTube ได้รับอนุญาตจาก • AwakeningRecordsLTD (ในนามของ Awakening Records); ASCAP, Muserk Rights Management และสมาคมจัดเก็บค่าลิขสิทธิ์เพลง 15 แห่ง • • แสดงเพิ่มเติม แสดงน้อยลง.

The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease management of cases where the abdomen cannot be closed due to abdominal compartment syndrome or because multiple further operations are planned (damage control repair [DCR]). It consists of a sterile hook and a sterile loop sheet made from propylene and nylon. The Wittmann patch can be used to perform a temporary abdominal closure (TAC) or open abdomen (OA) as part of damage control surgical interventions in trauma, peritonitis or pancreatitis and generally in all those conditions at risk of intra-abdominal pressure (IAP) increase. It allows the frequent reassessment of intra-abdominal content.

RESULTS: Of the six patients, five had thermal injury and one had electrical injury. The mean total body surface area affected for thermal burn was 78% and for electrical burn was 37%.

Diagnosis of abdominal compartment syndrome was based on elevated bladder pressure and organ dysfunction. The patients were treated with decompressive celiotomy and Wittmann Patch closure. Kak zapustitj gta 5 na pk 32 bit. Survivors subsequently underwent primary abdominal closure, with no evidence of ventral hernia at long-term follow-up. CONCLUSION: In burn cases with abdominal compartment syndrome, a Wittmann Patch ay prove a helpful method of temporary abdominal closure, followed by primary closure with no complications.