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

研究成果: Article査読

4 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)1335-1339
ページ数5
ジャーナルSurgery today
45
10
DOI
出版ステータスPublished - 2015 10 14

ASJC Scopus subject areas

  • Surgery

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