Closure of the Open Abdomen

Use of Botulinum Toxin Type A Before Abdominal Wall Hernia Reconstruction

“…The postoperative hernia rate after primary surgery is 2-20% [1], whereas the ventral hernia recurrence rate is reported to be 30-70% [1,2,5]. Surgical techniques consisting of myofascial release, local tissue flaps, free flaps, and the use of synthetic materials have been reported [6][7][8][9][10][11][12]. The ideal objective is to perform a tension-free closure, with abdominal wall dynamic stability and optimizing aesthetic appearance [13].…”

Bioavailability of Oral Fluconazole in Critically Ill Abdominal Trauma Patients With and Without Abdominal Wall Closure: a Randomized Crossover Clinical Trial

“…At first, "open abdomens" were managed with a mesh-based dressing with some arrangement to allow frequent access to the abdominal cavity. [13][14][15][16] Some surgeons used the "Vac-pack", which combined a large impermeable sheet with a towel on lay and several Jackson-Pratt drains to maintain suction. [17][18][19] More recently, trauma centers have reported their success using a commercial vacuum dressing, which applies constant negative pressure.…”

A simple, inexpensive, life‐saving way to perform iterative laparotomy in patients with severe intra‐abdominal sepsis

“…Few data are available in the literature on the feasibility of a laparotomy after iterative laparotomies. The authors of a previous publication [15] have concluded that a history of an open abdomen is not a contraindication to later operation and that bowel continuity can be restored and abdominal wall reconstruction be performed safely, as early as 3–4 months after recovery from the original injury. We support this opinion.…”