Delayed Primary Closure in Damage Control Laparotomy: The Value of the Wittmann Patch:

作者: Josef G Hadeed , Gregory W Staman , Hector S Sariol , Sanjay Kumar , Steven E Ross

DOI: 10.1177/000313480707300103

关键词:

摘要: Damage control laparotomy has become an accepted practice in trauma surgery. A number of methods leading to delayed primary closure the abdomen have been advocated; complications are recognized with all these methods. The approach staged repair using Wittmann patch (Star Surgical Inc., Burlington, WI) combines advantages planned relaparotomy and open management, while minimizing rate complications. authors hypothesized that use would lead a high abdomen. consists two sheets sutured abdominal fascia, providing for temporary closure. Advancement exploration can be done at bedside. When fascial edges reapproximated without tension, is performed. Twenty-six patients underwent during study period. All were initially managed intravenous bag Eighty-three per cent (20 24) went on abdomen, mean time 13.1 days from placement equivalent other commonly used should considered when managing compartment syndrome or severe trauma.

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