A novel technique for managing open abdomen with the combined use of mesh-mediated traction and the bilateral anterior rectus abdominis sheath turnover flap method: how to do it

Masatoku Arai, Shigeki Kushimoto, Shiei Kim, Tomohiko Masuno, Jun Hagiwara, Hiromoto Ishii, Hiroyuki Yokota

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)1335-1339
Number of pages5
JournalSurgery today
Volume45
Issue number10
DOIs
Publication statusPublished - 2015 Oct 14

Keywords

  • Bilateral anterior rectus abdominis sheath turnover flap method
  • Negative pressure wound therapy
  • Open abdomen

ASJC Scopus subject areas

  • Surgery

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