| TITLE: | Management of the difficult abdominal closure. | ||||||
|---|---|---|---|---|---|---|---|
| AUTHORS: | Saxe JM; Ledgerwood AM; Lucas CE | ||||||
| AUTHOR AFFILIATION: | Department of General Surgery, Wayne State University School of Medicine, Detroit, Michigan. | ||||||
| SOURCE: | Surg Clin North Am 1993 Apr;73(2):243-51 | ||||||
| CITATION IDS: | PMID: 8456355 UI: 93206186 | ||||||
| ABSTRACT: | Hemorrhagic shock and multiple trunk injuries, especially severe pelvic fracture, may cause massive swelling of intra-abdominal viscera and the abdominal wall, thereby precluding safe, primary abdominal wall closure. Primary closure, under tension in such patients, causes a multitude of problems including respiratory compromise, reduced cardiac output, oliguria, enterocutaneous fistulae, impaired abdominal wall nutrient blood supply, necrotizing fasciitis, evisceration, and death of the patient. Multiple methods have been described to aid the surgeon in circumventing these problems. The authors advocate the abdominal wall pack technique, which has the advantages of ease of implementation and a low rate of wound complications. | ||||||
| MAIN MESH HEADINGS: |
Abdominal Injuries/*surgery Shock, Hemorrhagic/*complications *Surgical Mesh *Wound Healing | ||||||
| ADDITIONAL MESH HEADINGS: |
Abdominal Injuries/complications Abdominal Injuries/physiopathology Abdominal Muscles/injuries Abdominal Muscles/physiopathology Edema/etiology Edema/physiopathology Human Pressure Support, Non-U.S. Gov't 1993/04 1993/01 00:00 | ||||||
| PUBLICATION TYPES: |
JOURNAL ARTICLE REVIEW REVIEW, TUTORIAL | ||||||
| LANGUAGES: | Eng | ||||||