Delayed primary closure of the abdominal wall after decompressive laparotomy using a dynamic fascial closure system: a case report

2011 ◽  
Vol 35 (8) ◽  
pp. 629-631
Author(s):  
Pim J. C. Schout ◽  
Corinne Schouten ◽  
Michel M. P. J. Reijnen ◽  
Karel A. Kolkman
Keyword(s):  
Case Report ◽  
Abdominal Wall ◽  
Primary Closure ◽  
Fascial Closure ◽  
Closure System ◽  
Delayed Primary Closure ◽  
System A ◽  
Decompressive Laparotomy

scholarly journals Successful management of abdominal wound dehiscence using a vacuum assisted closure system combined with mesh-mediated medial traction

2015 ◽  
Vol 97 (1) ◽  
pp. e3-e5 ◽  
Author(s):  
AC Lord ◽  
R Hompes ◽  
A Venkatasubramaniam ◽  
S Arnold
Keyword(s):  
Abdominal Wall ◽  
Primary Closure ◽  
Open Abdomen ◽  
Wound Dehiscence ◽  
Fascial Closure ◽  
Abdominal Wound ◽  
Closure System ◽  
Vacuum Assisted Closure ◽  
Successful Management ◽  
Abdominal Wound Dehiscence

Management of the open abdomen has advanced significantly in recent years with the increasing use of vacuum assisted closure (VAC) techniques leading to increased rates of fascial closure. We present the case of a patient who suffered two complete abdominal wall dehiscences after an elective laparotomy, meaning primary closure was no longer possible. She was treated successfully with a VAC system combined with continuous medial traction using a Prolene®mesh. This technique has not been described before in the management of patients following wound dehiscence.

scholarly journals Port site hernia repair using the VersaOne™ Fascial Closure System: a case report

2020 ◽  
Vol 2020 (12) ◽  
Author(s):  
Emi Hagui ◽  
Masahiro Kimura ◽  
Takeyasu Katada ◽  
Takaya Nagasaki ◽  
Seiichi Nakaya ◽  
...  
Keyword(s):  
Case Report ◽  
Abdominal Cavity ◽  
Port Site ◽  
Fascial Closure ◽  
Obese Patients ◽  
Closure System ◽  
Fascial Defect ◽  
System A ◽  
Port Site Hernia ◽  
Incomplete Closure

Abstract The use of laparoscopic surgery has become widespread in recent years. One of its complications is port site hernia (PHS). It can be difficult to close the fascia at the time of laparoscopy, especially in obese patients, and there is a risk of herniation through a fascial defect with incomplete closure. It is important to ascertain closure of the defect when repairing PHS to prevent recurrence. We report a 47-year-old woman who developed a PHS at the superior aspect of the umbilicus. We repaired the defect using the VersaOneTM Fascial Closure System with laparoscopic guidance. This system allows the port site to be reliably closed while observing the suture from the abdominal cavity. The incision is the same size as a port site. If the abdominal wall is thick and the PHS has a diameter of ~10 mm, this method is considered to be indicated, regardless of the site.

Postoperative orocutaneous fistula closure using a vacuum-assisted closure system: a case report

2010 ◽  
Vol 36 (5) ◽  
pp. 413
Author(s):  
Seung-June Lee ◽  
Jin-il Kwon ◽  
Kyung-Min Lim ◽  
Hyung Jun Kim ◽  
In-Ho Cha ◽  
...  
Keyword(s):  
Case Report ◽  
Closure System ◽  
Fistula Closure ◽  
Vacuum Assisted Closure ◽  
System A

scholarly journals Successful use of size-mismatched liver allografts in children by delayed primary closure of the abdominal wall

1996 ◽  
Vol 83 (11) ◽  
pp. 1530-1531 ◽  
Author(s):  
A. S. Soin ◽  
P. J. Friend ◽  
G. Noble-Jamieson ◽  
C. J. E. Watson ◽  
N. V. Jamieson ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Primary Closure ◽  
Delayed Primary Closure

Novel method for delayed primary closure and incisional hernia prevention in open abdomen: COmbined and MOdified Definitive Abdominal wall closure (COMODA)

Hernia ◽  
2019 ◽  
Vol 24 (2) ◽  
pp. 395-401 ◽  
Author(s):  
R. Villalobos Mori ◽  
Y. Maestre González ◽  
Mª Mias Carballal ◽  
C. Gas Ruiz ◽  
G. Protti Ruiz ◽  
...  
Keyword(s):  
Incisional Hernia ◽  
Abdominal Wall ◽  
Primary Closure ◽  
Open Abdomen ◽  
Abdominal Wall Closure ◽  
Delayed Primary Closure ◽  
Hernia Prevention ◽  
Novel Method

Application of pie-crusting technique to facilitate closure of open abdomen after decompressive laparotomy

2021 ◽  
Vol 14 (8) ◽  
pp. e244219
Author(s):  
Thomas J Martin ◽  
Tareq Kheirbek
Keyword(s):  
Abdominal Wall ◽  
Primary Closure ◽  
Open Abdomen ◽  
Abdominal Wall Reconstruction ◽  
Skin Grafting ◽  
Temporary Abdominal Closure ◽  
Pressure Therapy ◽  
Abdominal Closure ◽  
Decompressive Laparotomy ◽  
Split Thickness Skin Grafting

We present the case of a 23-year-old man who developed abdominal compartment syndrome secondary to severe pancreatitis and required decompressive laparotomy and pancreatic necrosectomy. Despite application of a temporary abdominal closure system (ABThera Open Abdomen Negative Pressure Therapy), extensive retroperitoneal oedema and inflammation continued to contribute to loss of domain and prevented primary closure of the skin and fascia. The usual course of action would have involved reapplication of ABThera system until primary closure could be achieved or sufficient granulation tissue permitted split-thickness skin grafting. Though a safe option for abdominal closure, application of a skin graft would delay return to baseline functional status and require eventual graft excision with abdominal wall reconstruction for this active labourer. Thus, we achieved primary closure of the skin through the novel application of abdominal wall ‘pie-crusting’, or tension-releasing multiple skin incisions, technique.

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