scholarly journals Management of an open abdomen complicated by a high output entero-atmosferic fistula after a gastric by-pass

2017 ◽  
Vol 4 (2) ◽  
pp. 11
Author(s):  
Lorena Hierro-Olabarria Salgado ◽  
Ángel Zorraquino ◽  
Ana Gutierrez ◽  
Mónica Elías ◽  
Patricia Pérez de Villarreal ◽  
...  
Keyword(s):  
Open Abdomen ◽  
Wide Spectrum ◽  
Wound Dehiscence ◽  
Vascular Bypass ◽  
Intestinal Contents ◽  
Emergency Interventions ◽  
Abdominal Wound Dehiscence ◽  
Gastric By Pass ◽  
Spectrum Of Indications ◽  
High Output

There is a wide spectrum of indications for negative pressure woundtherapy (NPWT) including enterocutaneous fistulas, open abdomen management,abdominal wound dehiscence, open fractures, amputation wounds, sternal woundinfections, vascular bypass site infection and many others.The article shows a case report of a patient with an entero-atmospheric fistulamanaged with NPWT. Control of intestinal contents from an entero-atmosphericfistula with the NPWT minimizes the damage to the healing bed of granulationtissue until the definitive closure of the fistula can be undertaken six to twelve monthslater. After a laparoscopic gastric bypass and 5 emergency interventions because of leaksat the jejunojenunal anastomosis and complications of the abdominal wall, anentero-atmospheric fistula appeared. This fistula was managed with the NPWTduring two months. In the described case, the application of negative pressuredressing system allowed the management of the entero-atmospheric fistula until itbecame a stoma.

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 Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure

2021 ◽  
Vol 37 (4) ◽  
Author(s):  
Ahmed Siddique Ammar ◽  
Syed Asghar Naqi ◽  
Shehrbano Khattak ◽  
Ahmed Raza Noumani
Keyword(s):  
Sampling Technique ◽  
Wound Dehiscence ◽  
P Value ◽  
Emergency Laparotomy ◽  
Abdominal Wound ◽  
Creative Commons ◽  
Surgical Ward ◽  
Group A ◽  
Abdominal Wound Dehiscence ◽  
Group B

Objective: To assess the role of abdominal binder in patients with midline wound dehiscence after elective or emergency laparotomy in terms of pain, psychological satisfaction and need for reclosure. Methods: It was a comparative study done at EAST Surgical Ward of Mayo Hospital, Lahore from 1st January 2018 to 31st December 2019. One hundred and sixty-two (162) patients were included in this study with post-operative midline abdominal wound dehiscence and after informed consent by consecutive non probability sampling technique. Patients were divided into two groups by lottery method into eighty-one patients each. Group-A included patients where abdominal binder was applied and Group-B included patients without abdominal binder. In both groups pain score, psychological satisfaction and need for reclosure was assessed and compared. Results: Patients with abdominal binder shows significantly less pain (P value =0.000) and more psychological satisfaction (P value = 0.000) as compared to the patients where abdominal binder was not used. However, there was no difference in reducing the need for reclosure in patients who use abdominal binder (P value = 0.063). Conclusion: Although abdominal binder helps in reducing the pain and improving the psychological satisfaction in patients with midline abdominal wound dehiscence yet it doesn’t help in healing of wound and reclosure of the dehisced abdominal wound is needed. doi: https://doi.org/10.12669/pjms.37.4.3671 How to cite this:Ammar AS, Naqi SA, Khattak S, Noumani AR. Outcome of abdominal binder in midline abdominal wound Dehiscence in terms of pain, psychological satisfaction and need for reclosure. Pak J Med Sci. 2021;37(4):1118-1121.  doi: https://doi.org/10.12669/pjms.37.4.3671 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Protocol Management of Wide Abdominal Wound Dehiscence Following Gynecology Laparotomies in Obese Women

2020 ◽  
Vol 36 (6) ◽  
pp. 385-386
Author(s):  
Fedele Lembo ◽  
Liberato Roberto Cecchino ◽  
Domenico Parisi ◽  
Aurelio Portincasa
Keyword(s):  
Wound Dehiscence ◽  
Abdominal Wound ◽  
Obese Women ◽  
Abdominal Wound Dehiscence

Management of Laparotomy Wound Dehiscence

2007 ◽  
Vol 73 (12) ◽  
pp. 1224-1227 ◽  
Author(s):  
Daniel E. Abbott ◽  
Gregory A. Dumanian ◽  
Amy L. Halverson
Keyword(s):  
Primary Closure ◽  
Abdominal Wall Defect ◽  
Wound Dehiscence ◽  
High Rate ◽  
Fascial Closure ◽  
Wall Defect ◽  
Laparotomy Wound ◽  
Abdominal Wound Dehiscence ◽  
Successful Repair ◽  
Optimal Treatment Strategy

Many studies identify risk factors for dehiscence, but a paucity of data exist suggesting an optimal treatment strategy. This study examines repair of abdominal wound dehiscence, comparing closure and interposition of mesh. We conducted a retrospective review of 37 individuals who suffered a wound dehiscence after laparotomy. Outcomes of repairs with either primary closure or polyglactin mesh interposition were examined. Twenty-seven individuals underwent repair with primary closure. Twelve of these individuals suffered repeat wound dehiscence; 10 were treated with repeat fascial closure, 2 with polyglactin mesh interposition. Seven individuals initially underwent successful repair with polyglactin mesh interposition; all subsequently had their hernias repaired. Three patients had minor fascial separation managed nonoperatively. Primary closure is associated with a relatively high rate of recurrent wound dehiscence. Closure with polyglactin mesh interposition has a higher initial success rate, but necessitates additional surgeries for repair of the abdominal wall defect.

Vacuum-Assisted Closure for Abdominal Wound Dehiscence with Prosthesis Exposure in Hernia Surgery

2003 ◽  
Vol 112 (4) ◽  
pp. 1188-1189 ◽  
Author(s):  
Axel de Vooght ◽  
Guy Feruzi ◽  
Roger Detry ◽  
Jan Lerut ◽  
Romain Vanwijck
Keyword(s):  
Wound Dehiscence ◽  
Abdominal Wound ◽  
Vacuum Assisted Closure ◽  
Hernia Surgery ◽  
Abdominal Wound Dehiscence

Abdominal Wound Dehiscence

BMJ ◽  
1961 ◽  
Vol 2 (5245) ◽  
pp. 173-173
Author(s):  
H. A. Kidd
Keyword(s):  
Wound Dehiscence ◽  
Abdominal Wound ◽  
Abdominal Wound Dehiscence
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