Reconstruction of massive full‐thickness abdominal wall defect: successful treatment with nonabsorbable mesh, negative pressure wound therapy, and split‐skin grafting

Aydin, Dogu; Paulsen, Ida Felbo; Bentzen, Vibeke Egerup; Asadzadeh, Sami; Hölmich, Lisbet Rosenkrantz

doi:10.1002/ccr3.649

Cited by 5 publications

(7 citation statements)

References 11 publications

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“…While Aydin et al. 132 supported indirect contact with the intestinal tract and recommended the use of greater omentum or synthetic materials (such as silica gel mesh) to fence out the intestine and dressings. After then negative pressure drainage was applied to promote granulation.…”

Section: Recommendationsmentioning

confidence: 99%

“… 130 With respect to negative pressure in abdominal wall defects, six observational studies recommend that the negative pressure should be at the range of 70–100 mm Hg. 61 , 62 , 63 , 66 , 112 , 132 …”

Section: Recommendationsmentioning

confidence: 99%

“…A total of 14 articles were included, of which 12 were observational studies48, 61, 62, 63, 66, 112, 129, 130, 131, 132, 133 and 2 were animal experimental studies 87, 88…”

Section: Recommendationsmentioning

confidence: 99%

“…suggested direct coverage of VSD dressings on the surface of the intestinal tract and immediate skin grafting after granulation formation. While Aydin et al 132 . supported indirect contact with the intestinal tract and recommended the use of greater omentum or synthetic materials (such as silica gel mesh) to fence out the intestine and dressings.…”

Section: Recommendationsmentioning

confidence: 99%

“…One observational study concluded that direct contact of the dressing with the intestinal tract had the risk of causing an intestinal fistula 130 . With respect to negative pressure in abdominal wall defects, six observational studies recommend that the negative pressure should be at the range of 70–100 mm Hg 61, 62, 63, 66, 112, 132…”

Section: Recommendationsmentioning

confidence: 99%

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Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Sun

et al. 2019

Chinese Journal of Traumatology

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Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries. Eleven questions regarding the use of VSD in abdominal surgeries were addressed: (1) which type of materials should be respectively chosen for the intraperitoneal cavity, retroperitoneal cavity and superficial incisions? (2) Can VSD be preventively used for a high-risk abdominal incision with primary suture? (3) Can VSD be used in severely contaminated/infected abdominal surgical sites? (4) Can VSD be used for temporary abdominal cavity closure under some special conditions such as severe abdominal trauma, infection, liver transplantation and intra-abdominal volume increment in abdominal compartment syndrome? (5) Can VSD be used in abdominal organ inflammation, injury, or postoperative drainage? (6) Can VSD be used in the treatment of intestinal fistula and pancreatic fistula? (7) Can VSD be used in the treatment of intra-abdominal and extra-peritoneal abscess? (8) Can VSD be used in the treatment of abdominal wall wounds, wound cavity, and defects? (9) Does VSD increase the risk of bleeding? (10) Does VSD increase the risk of intestinal wall injury? (11) Does VSD increase the risk of peritoneal adhesion? Focusing on these questions, evidence-based recommendations were given accordingly. VSD was strongly recommended regarding the questions 2–4. Weak recommendations were made regarding questions 1 and 5–11. Proper use of VSD in abdominal surgeries can lower the risk of infection in abdominal incisions with primary suture, treat severely contaminated/infected surgical sites and facilitate temporary abdominal cavity closure.

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Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

“…A total of 14 articles were included, of which 12 were observational studies48, 61, 62, 63, 66, 112, 129, 130, 131, 132, 133 and 2 were animal experimental studies 87, 88…”

Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

Section: Recommendationsmentioning

confidence: 99%

See 3 more Smart Citations

Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Sun

et al. 2019

Chinese Journal of Traumatology

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Complex abdominal wall reconstruction after oncologic resection in a sequalae of giant omphalocele: A case report

Ritz

Poumellec²,

Maertens³

et al. 2021

International Journal of Surgery Case Reports

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Highlights Giant liver congenital anterior abdominal wall defect untreated in adulthood. Hepatoblastoma in adult. Large full-thickness complex abdominal wall defect after oncologic resection. Surgical experience of the team on the integrity and functional prognostic of the abdominal wall reconstruction. Place of the combined acellular dermal matrix and skin graft as a permanent solution in abdominal wall reconstruction.

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Polydioxanone Internal Support Matrix: A Rationale for Prophylactic Internal Bra Support in Breast Augmentation

Chiemi¹,

Kelishadi²

2022

Aesthetic Surgery Journal Open Forum

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Background Textured breast implants have been used in aesthetic breast surgery to decrease rates of implant malposition. Recent analysis of a large-volume single-surgeon experience found statistically similar rates of malposition in smooth versus micro-textured breast implants. Objectives Prophylactic use of a Polydioxanone (PDO) internal support matrix in breast augmentation was hypothesized to prevent scar malposition and increase pocket control. Methods 200 patients received silicone gel primary augmentations performed by a single surgeon from January 2018–December 2020. 84 patients received smooth implants alone; 49 patients received micro-textured implants; 67 patients received smooth implants plus PDO internal support matrix. All surgeries were performed in the dual-plane using an inframammary incision. Implant-related complications and scar malposition were recorded and compared. Results No significant difference in implant-related complication rates was found between shell types (3.57% for smooth devices alone, 2.04% for textured devices [P=0.62, 95% CI -0.06–0.01]). There were zero complications in the smooth plus mesh study arm. Comparison of scar malposition rates between the smooth alone and textured groups revealed no significant difference (15.4% for smooth devices and 8.16% for textured devices [P=0.23, 95% CI -0.12–0.01]). The smooth implant group with prophylactic placement of PDO mesh had the lowest scar malposition rate of 4.48%, a significant difference compared to the smooth devices alone [P=0.03, 95% CI -0.21– -0.01%]. Conclusions Micro-textured devices show a trend towards decreased scar malposition, although not significant. Prophylactic use of PDO internal support matrix in silicone gel breast augmentation is safe and has the lowest incidence of scar malposition.

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Reconstruction of massive full‐thickness abdominal wall defect: successful treatment with nonabsorbable mesh, negative pressure wound therapy, and split‐skin grafting

Cited by 5 publications

References 11 publications

Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Complex abdominal wall reconstruction after oncologic resection in a sequalae of giant omphalocele: A case report

Polydioxanone Internal Support Matrix: A Rationale for Prophylactic Internal Bra Support in Breast Augmentation

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