Late fascial closure in lieu of ventral hernia | 合法醫療器材資訊網

由PRMiller著作·2002·被引用265次—VAFCenableslatefascialclosureinopenabdomenpatientsuptoamonthafterinitiallaparotomy.Complicationratesdonotdifferfrompatientswithplanned ...

Background: The use of open abdomen techniques in damage control laparotomy and abdominal compartment syndrome has led to development of several methods of temporary abdominal closure. All of these methods require creation of a planned hernia with later reconstruction in patients unable to undergo fascial closure in the early postoperative period. We review a method of late primary fascial closure, thus eliminating the need for delayed reconstruction in some patients.

Methods: The records of all patients managed with open abdomens over a 5-year period at a Level I trauma center were reviewed for injury characteristics, operative treatment, final abdominal closure type and timing, and outcome. Patients requiring open abdomen who were unable to undergo fascial closure in the early postoperative period were managed with a vacuum-assisted fascial closure (VAFC) technique. This allows for constant tensio...