Prevention of Entero-Atmospheric Fistula: The Initial Closure of the Abdomen.
Abdominal Compartment Syndrome
closure of open abdomen
entero-atmospheric fistulae
meshes in open abdomen
open abdomen
skin grafts in open abdomen
Journal
Hellenike cheirourgike. Acta chirurgica Hellenica
ISSN: 0018-0092
Titre abrégé: Hell Cheirourgike
Pays: Austria
ID NLM: 17330220R
Informations de publication
Date de publication:
2020
2020
Historique:
received:
26
08
2020
accepted:
02
09
2020
entrez:
29
3
2021
pubmed:
1
1
2020
medline:
1
1
2020
Statut:
ppublish
Résumé
The "Open Abdomen" technique for difficult conditions such as trauma, necrotizing pancreatitis, severe peritonitis, reoperations and transplantations have become a very useful way to save patients. The more severe complication of this method are the enteroatmospheric fistulae with a frequency of 5-75% and a mortality up to 42%. So any effort to prevent these is very essential. The aim of this paper is to present methods of the initial (temporary) closure of the abdomen for the prevention of this catastrophe, when early approximation of the abdominal wall is not feasible. We present two representative case reports and we describe the use of full thickness or split skin grafts as first step for abdominal closure. The outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen.
Sections du résumé
BACKGROUND AND AIMS
OBJECTIVE
The "Open Abdomen" technique for difficult conditions such as trauma, necrotizing pancreatitis, severe peritonitis, reoperations and transplantations have become a very useful way to save patients. The more severe complication of this method are the enteroatmospheric fistulae with a frequency of 5-75% and a mortality up to 42%. So any effort to prevent these is very essential. The aim of this paper is to present methods of the initial (temporary) closure of the abdomen for the prevention of this catastrophe, when early approximation of the abdominal wall is not feasible.
METHODS AND MATERIALS
METHODS
We present two representative case reports and we describe the use of full thickness or split skin grafts as first step for abdominal closure.
RESULTS AND CONCLUSIONS
CONCLUSIONS
The outcome of our patients by using tissues for temporary abdominal closure seems to have fewer problems than other methods with synthetic materials. We think that this is a reasonable option for the cases where we cannot achieve approximation of the abdominal wall edges in the early days of an open abdomen.
Identifiants
pubmed: 33776078
doi: 10.1007/s13126-020-0580-5
pii: 580
pmc: PMC7982305
doi:
Types de publication
Journal Article
Langues
eng
Pagination
208-210Informations de copyright
© Hellenic Surgical Society 2020.
Références
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