Clinical abdominal wound closure techniques. Medical search. Frequent questions

Wound dehiscence after abdominal operations is a multi-factorial problem in which local and systemic factors are involved. (turkjsurg.com)
Wound dehiscence may also develop secondary to hematoma causing suture loosening, increased intra-abdominal pressure due to post-operative persistent cough or vomiting ( 3 , 4 ). (turkjsurg.com)
It is used to relieve tension on the edges of the wound and prevent wound dehiscence following laparotomy as a retention reinforcement. (turkjsurg.com)
It is used for patients with a high potential for wound dehiscence (emergency laparotomies, revision laparotomies, peritonitis/ileus, elderly patients, bronchopulmonary infections, malignancy operations, operations that last long, coagulation abnormalities). (turkjsurg.com)
The small bites (SB) technique for closure of elective midline laparotomies (EMLs) and a prophylactic mesh (PM) in high-risk patients are suggested by the guidelines to prevent incisional hernias (IHs) and fascial dehiscence (FD). (medtronic.com)
Standard technique for abdominal wall closure should be practiced considering the need to provide good support, prevent infections, sinus formation, and incision pain and scar dehiscence. (intechopen.com)
Complications of midline coeliotomy in small animals include surgical-site infection, peritonitis, wound dehiscence, and incisional herniation, which can occur with or without eventration (Figure 2). (veterinaryirelandjournal.com)
Methods: From 2015 to 2020, in two tertiary centres, the surgical outcomes, the wound events (i.e., surgical site infections, wound dehiscence and the complete healing time) and the oncological outcomes (i.e., time length to start adjuvant chemo-radiotherapy, an over 8-week delay in chemotherapy and the recurrence rate) were etrospectively analysed in patients undergoing APR reinforced with biosynthetic mesh (Group A) and conventional APR (Group B). (massimomongardini.com)
Results Sixty-one patients were treated with APR (25 in Group A and 36 in Group B). Patients in Group A presented lower time for : healing (16 versus 24 days, p = 0.015), inferior perineal wound dehiscence rates (one versus nine cases, p = 0.033), an earlier adjuvant therapy start (26 versus 70days, p = 0.003) and a lower recurrence rate (16.6% vs. 33.3%, p = 0.152). (massimomongardini.com)
On postoperative day 9, dehiscence of the wound and respiratory distress prompt admission to the intensive care unit. (contemporaryobgyn.net)
4 This patient had a typical clinical course, with postoperative dehiscence and systemic symptoms including respiratory distress. (contemporaryobgyn.net)
Sixteen patients (ten with one or more intestinal fistula) developed abdominal wall dehiscence were included in this study. (who.int)
[ 9 ] Over time, direct primary closure becomes difficult, if not impossible, and is often plagued by high rates of dehiscence and early complications. (medscape.com)

Most of these complications are related to pancreatic fistula, with serious complications of intra-abdominal abscess, postoperative bleeding, and multiorgan failure. (sagepub.com)
After several hundred abdominal fascial continuous closures without complications, I expanded its use to the stomach, intestine, esophagus, blood vessels, other fascia and the skin. (dvm360.com)
This equates to a more economical way to close traumatic and intentional surgical wounds, less wound infection and less overall complications. (dvm360.com)
Complications associated with wound healing after abdominal tumor operations continue to be a significant problem. (turkjsurg.com)
In our study, patients diagnosed with gastrointestinal system (GIS) malignancy and abdomen closure by using only PDS® and patients who received PDS® as well as reinforcement with retention sutures were compared in terms of early and late post-operative complications. (turkjsurg.com)
It is unclear as which technique and suture material should be used for closure of cesarean section in order to get the best results with minimal complications. (intechopen.com)
Accessing the abdominal cavity using a ventral midline incision is one of the most common surgical approaches in small animal surgery, though the procedure is not free of complications. (veterinaryirelandjournal.com)
In humans, the length and type of incision is considered a risk factor for development of incisional hernia.9,10 Longer incisions are associated with early development of complications, 9 while there is an increased risk for open coeliotomy compared to minimally invasive laparoscopic procedures.10 Despite the clear advantages of laparoscopy, incisional hernias can also develop with this technique at either the incisional or the trocar site. (veterinaryirelandjournal.com)
Using biosynthetic mesh for the neo-perineum reconstruction after a Miles' procedure is a poorly investigated technique, which, in our series, resulted in safe, reproducible results affected by limited complications. (massimomongardini.com)
Background: Local wound complications are among the most relevant sequelae after an abdominoperineal resection (APR) for low rectal cancer. (massimomongardini.com)
4-7] Also, those who undergo cesarean delivery are at increased risk of significant operative morbidity that may include greater blood loss, longer operative times, anesthetic complications, and postoperative wound infections. (bariatrictimes.com)
However, while ERCP has been widely applied in the outpatient setting due to physicians' proficiency in this technique, the incidence of postoperative complications remains high. (oncotarget.com)

wound infection. (edu.pk)
ABSTRACT To determine the microbiology of wound infection following caesarean section and to evaluate the use of Gram stain for the predicton of subsequent microbiological culture results, 1319 surgical wounds were followed up. (who.int)
Organisms seen by Gram stain yielded a sensitivity of 96.6%, specificity of 88.9%, positive predictive value of 97.7% and negative predictive value of 84.2% when used to predict positive culture results for bacterial wound infection. (who.int)
Blood, chocolate (Diagnolab, We conducted this study to define the Barcelona, Spain) and MacConkey (MAST prevalence of pathogenic organisms in Diagnostics, Merseyside, United Kingdom) post-caesarean wound infection in our hos- agars were used to isolate Gram-positive pital and to evaluate the use of Gram stain and Gram-negative aerobic microorgan- to predict subsequent microbiological cul- isms. (who.int)
Future research should explore healing time, potential unwanted or harmful effects, all-cause mortality, length of hospital stay, health-related quality of life, reoperation rate, wound infection, and pain outcomes. (cochrane.org)
Non-trauma patients are people who need surgery for conditions that are not caused by trauma (e.g. abdominal infection, cancer, ischaemia). (cochrane.org)
The study did not report the proportion of people with wounds that were successfully closed, participant health-related quality of life, reoperation rate, wound infection, or pain. (cochrane.org)
The study did not report the time needed for wounds to completely close, participant health-related quality of life, length of hospital stay, wound infection, or pain. (cochrane.org)
Since I am not in favor of burying suture of any kind in traumatic wounds because it enhances the chance for infection to develop, I have used the polybutester a great deal for this type of closure. (dvm360.com)
Research has shown that even having one buried suture in a clean-contaminated wound increases the likelihood of infection occurring by 200 percent. (dvm360.com)
RESULTS: All animals survived, and no leakage, intestinal obstruction, or wound infection was observed during the experiment. (bvsalud.org)
Evisceration and post-operative wound infection were significantly lower in Group 2 as compared to Group 1 (p=0.008 and p=0.002). (turkjsurg.com)
Other reasons are listed as wound infection (9%), broken sutures (8%), fascia necrosis (6%) and loose knots (4%) ( 5 , 6 ). (turkjsurg.com)
In this case, we performed abdominal wall restoration using an acellular dermal matrix (ADM) and skin grafts in a patient under long-term OA treatment due to intestinal perforation accompanied by open pelvic fractures and wound infection. (jtraumainj.org)
Because SSIs are primarily acquired during the surgical procedure while the wound is open, a number of infection control practices merit scrutiny in the operating room (OR). (isid.org)
Moshe S. Surgical Management of intra- abdominal infection: is there any evidence? (ijsurgery.com)
14 Infection rates can be reduced by decreasing surgery duration and using appropriate surgical technique (eg, gentle tissue handling, closure of dead space). (cliniciansbrief.com)
While chronic incisional hernias are commonly associated with patient-dependent factors such as metabolic disease, immunosuppression or development of surgical-site infection, 1,3 acute incisional hernias are likely associated with an inadequate surgical technique, 1,3,4 inappropriate choice of suture material, 1,3 and trauma to the abdominal wall after surgery. (veterinaryirelandjournal.com)
Her previous cesarean delivery was notable for a 6-month recovery secondary to a wound infection requiring surgical debridement, prolonged use of wound vacuum-assisted closure (VAC), and multiple courses of antibiotics. (contemporaryobgyn.net)
1 It is commonly mistaken for infection because of the impressive wounds and marked purulence. (contemporaryobgyn.net)

Plus Sutures remained cost-saving in all subgroup analyses with cost-savings ranging between £11 (clean wounds) and £140 (non-clean wounds). (bvsalud.org)
This article reviews pertinent abdominal wall anatomy, discusses various options for abdominal incisions, and examines various sutures available to surgeons. (medscape.com)
Sutures hold flesh together through the tension they create by pulling tissues together to close a wound. (encyclopedia.com)
Patients in which surgical mesh has been used may resume activity much sooner after the surgical procedure than is usually seen with tension repair techniques such as sutures. (encyclopedia.com)
Hernias used to be commonly repaired using sutures and other types of tension-based tissue closure techniques. (encyclopedia.com)
Sutures also create a higher post-operative intra-abdominal pressure and consequent breathing problems than mesh. (encyclopedia.com)
METHODS: A systematic search of PubMed, Embase, Web of Science, and Cochrane databases was performed to identify literature examining anastomotic leak as the primary outcome to compare studies of laparoscopic surgery for rectal cancer using the double-stapling anastomosis technique with or without intraoperative anastomotic reinforcement with sutures. (bvsalud.org)
For this purpose, early and late term results of patients who underwent application of polydioxanone (PDS) and additional retention sutures for abdominal closure were retrospectively evaluated. (turkjsurg.com)
Abdominal closure using retention sutures for reinforcement is a conventional surgical method that has been discussed for long years in medical literature in various aspects, and is still being performed by using new and more superior materials offered by the contemporary industrial developments. (turkjsurg.com)
Methods A pragmatic multicentre single-blind RCT allocated patients undergoing midline incision for colorectal cancer to either Hughes closure (double far-near-near-far sutures of 1 nylon suture at 2-cm intervals along the fascia combined with conventional mass closure) or the surgeon's standard closure. (plymouth.ac.uk)
A randomised prospective study was undertaken with 60 patients of secondary peritonitis regardless of causative etiology and divided into two equally compatible groups, Group A with open laparostomy and Group B who underwent staged closure with Dynamic Retention sutures. (ijsurgery.com)
The monitoring of post- operative IAP is important in deciding the need for any intervention in open laprostomy as well as Dynamic Retention Sutures with modified Bagota techniques. (ijsurgery.com)
In the study group, the hernial orifice was closed using the modified figure-of-8 technique, followed by simple sutures to close the skin. (jabsonline.org)
In conclusion, the data obtained from this study indicate that the modified 8-suture technique provides more effective closure of the hernial ring compared to simple sutures, and the regeneration process is faster than with the standard suture technique. (jabsonline.org)
There are multiple sutures and suturing techniques practiced worldwide for the closure of abdominal layers following cesarean section. (intechopen.com)
Wound temporization with traction-assisted internal negative pressure wound therapy (NPWT), using bridging retention sutures, can minimize the effects of edema and elastic recoil that contribute to progressive tissue retraction over time. (medscape.com)

I began using the material first for routine fascia and skin closure in 1985 because it had properties that were similar to polypropylene, being non-reactive and with an excellent track record for superiority in strength and knot security. (dvm360.com)
Aetna considers repair of a diastasis recti, defined as a thinning out of the anterior abdominal wall fascia, not medically necessary because, according to the clinical literature, it does not represent a "true" hernia and is of no clinical significance. (aetna.com)
The type of incision used depends on the anatomic region to expose, type of surgery and the surgeon's preferences.10 Paramedian incisions provide the theoretic advantage of adding two layers of muscular fascia for closure buttressed by a well-vascularised muscular layer. (veterinaryirelandjournal.com)

The P.E.L.I.O.N. trial will evaluate the efficacy of prophylactic mesh reinforcement after loop ileostomy closure in decreasing the rate of incisional hernia versus standard closure alone. (biomedcentral.com)
P rophylactic E ffect of retromuscular mesh during L oop I leostomy closure O n incisional her N ia incidence - a multicentre randomized patient- and observer-blind trial (P.E.L.I.O.N Trial). (biomedcentral.com)
Prolonged hospital stay, increased incisional hernia incidence and the consequent required revision surgeries may provide an idea about the extent to which wound recovery deteriorates post-operative comfort ( 1 , 2 ). (turkjsurg.com)
HART (Hughes Abdominal Repair Trial) assessed the effect of an alternative suture method on the incidence of incisional hernia following colorectal cancer surgery. (plymouth.ac.uk)
The primary outcome was the incidence of incisional hernia at 1 year assessed by clinical examination. (plymouth.ac.uk)
Although OA is a helpful method in the early stages of treatment for patients with trauma, it may result in delayed morbidity from conditions such as incisional hernia, abdominal abscess, and enteroatmospheric fistula (EAF). (jtraumainj.org)
Incisional hernia is a frequent complication of abdominal wall incision. (medtronic.com)
Surgical technique is an important risk factor for the development of incisional hernia. (medtronic.com)
The incidence of incisional hernias (IHs) after open repair of an abdominal aortic aneurysm (AAA) is high. (medtronic.com)
Prophylactic mesh-augmented abdominal wall closure after urgent laparotomy in clean-contaminated wounds is safe and effective in reducing the incidence of incisional hernia. (medtronic.com)
Therefore, achieving early primary fascial closure after repair of incisional hernia with LOD is very important for patient's long-term quality of life. (jwmr.org)
[ 10 , 11 ] Modifications of this technology (including incisional internal vacuum-assisted therapy, which utilizes a partially buried sponge and closed suction drainage through a small skin opening) have been shown to expedite cavity collapse and facilitate delayed primary closure of large and/or contaminated wounds. (medscape.com)

Adhish B. A low cost technique for measuring the intra-abdominal pressure in non-industrialized countries. (ijsurgery.com)

Les micro-organismes mis en évidence par coloration de Gram ont donné une sensibilité de 96,6 %, une spécificité de 88,9 %, une valeur prédictive positive de 97,7 % et une valeur prédictive négative de 84,2 % lorsqu'ils étaient utilisés pour prévoir les résultats de culture positifs pour les infections bactériennes des plaies. (who.int)
Aspirates were obtained by from post-caesarean wound infections has preparing the wound area with alcohol, in- also been reported, however pathogenicity serting a sterile needle through the healing in this setting was not precisely known. (who.int)
Secondary endpoints will be the frequency of surgical site occurrences (including surgical site infections, wound seromas and hematomas, and enterocutaneous fistulas), postoperative pain, the number of revision surgeries and health-related quality of life. (biomedcentral.com)
The advantages of TLH have been firmly established to include reduced short-term morbidity (less blood loss, wound infections, and postoperative pain), shorter hospital stay, and faster resumption of normal activities when compared with abdominal hysterectomy. (medscape.com)
Measures in Category I are strongly supported by well-designed and controlled clinical studies that show their effectiveness in reducing the risk of nosocomial infections or are viewed as effective by a majority of expert reviewers. (cdc.gov)
The quilting suture technique, in which the skin flaps are sutured to the pectoralis muscle, leads to a significant reduction of seroma with a decrease in the number of aspirations and surgical site infections. (bvsalud.org)
Assessing the severity of intra-abdominal Infections: the value of APACHE II Scoring System. (ijsurgery.com)

NPWT has been used in recent years to treat non-trauma patients after abdominal surgery. (cochrane.org)
He is board certified and recertified in both general and plastic surgery, he is renowned for his expertise in reconstructive surgery, particularly with hernia and abdominal wall reconstructions and in oncoplastic breast reconstruction. (mdanderson.org)
Open abdomen (OA) management is a life-saving strategy for patients with trauma who requires damage control surgery for a severe abdomen injury, such as compartment syndrome, uncontrolled abdominal contamination, and abdominal wall tissue loss [ 1 ]. (jtraumainj.org)
Clinical applications in which the best results have been obtained are vascular surgery, maxillofacial surgery, orthopedic surgery and esthetic medicine. (iiarjournals.org)
Dr. Gretz is a clinical professor of obstetrics and gynecology at the Icahn School of Medicine at Mount Sinai and the associate director of the Minimally Invasive Surgery Fellowship. (stamfordhealth.org)
Robotic Single-Site and Conventional Laparoscopic Surgery in Gynecology: Clinical Outcomes and Cost Analysis of a Matched Case-Control Study. (stamfordhealth.org)
Prophylactic mesh augmentation in abdominal wall closure after elective surgery is recommended, but its role in emergency surgery is less well defined. (medtronic.com)
The clinician must decide whether to treat the patient conservatively (eg, abdominal bandaging, sedation, monitoring, judicious use of fluids) or perform exploratory surgery. (cliniciansbrief.com)
Mc Farland, J. (1980): Hernia: Basic Clinical Surgery for Nurses and Medical Students. (jabsonline.org)
Surgery may alleviate clinical signs in an emergency situation but mortality rates can be high. (vin.com)
Wounds were checked the day after intervention (C1), on patient discharge (third day after c-section, C3), ten days after surgery (C10) and twenty days after surgery (C20) by an external physician. (gynaecologyjournal.com)
12 In small animals, paramedian incisions are not routinely performed for abdominal surgery because vertical midline incisions provide rapid access to the abdomen. (veterinaryirelandjournal.com)
Held suture kits at patient's bedside to facilitate quick closure of incision site during abdominal surgery. (myresumedb.com)
served as back-up for several surgical procedures using innovative techniques that led to less invasive surgery. (myresumedb.com)
2003-2004: Clinical non-accredited SICU/Burn training, Department of Surgery, University of Missouri, Columbia. (clinicalsurgeryjournal.com)
2004-2006: Clinical Fellowship in Abdominal Transplant, Department of Surgery-Section of Transplantation, University of Chicago Pritzker School of Medicine. (clinicalsurgeryjournal.com)

This Clinical Policy Bulletin addresses abdominoplasty, suction lipectomy, and ventral hernia repair. (aetna.com)
The objective of this study was to compare the modified 8-suture technique with the standard suture technique in a rat abdominal hernia model. (jabsonline.org)
Initially, an experimental abdominal hernia was created. (jabsonline.org)
After the skin incision, the subcutaneous connective tissue was removed, and the ventral abdominal muscles were dissected bluntly to create a 3 cm hernia opening. (jabsonline.org)
TCHUPETLOWSKY S, LOSANOFF J, KJOSSEV K. Bilateral obturator hernia:A new technique and a new prosthetic mesh for repair. (clinicalsurgeryjournal.com)

Abdominal CT scan showed prolapsed intestine and spleen to the thoracic cavity through the diaphragmatic defect. (sages.org)
Five trocars were placed in the upper abdomen, and we explored the abdominal cavity with 30-degree laparoscope. (sages.org)
An open technique (mini-laparotomy) in which the operator dissects into the abdominal cavity to directly visualize the peritoneum and incise it to insert the catheter in a more directed fashion is less often done and is not discussed here. (msdmanuals.com)
This disease is characterised by a defect in abdominal wall closure with herniation of the intestines and other abdominal organs into the amniotic cavity. (bvsalud.org)

Based on the available trial data, we are uncertain whether NPWT has any benefit in primary fascial closure of the abdomen, adverse events (fistulae formation), all-cause mortality, or length of hospital stay compared with the Bogota bag. (cochrane.org)
Because it has a superior stretch quality, the polybutester is used as a continuous, interrupted, near-far-far-near (NFFN) and either interrupted or continuous vertical mattress suture for fascial and skin closures. (dvm360.com)
Temporary closure of the open abdomen: a systematic review on delayed primary fascial closure in patients witn an open abdomen. (ijsurgery.com)
The ABRA DTS assisted in achieving primary fascial closures. (jwmr.org)
The abdominal reapproximation anchor (ABRA, Canica Design Inc.) dynamic tissue system (DTS) allows for successful closure of the catastrophic open abdomen, largely by acting as a "faux linea alba" and can be used in conjunction with the above tools to achieve primary fascial closure. (jwmr.org)
Because Fournier gangrene is predominately an infectious process of the superficial and deep fascial planes, understanding the anatomic relationship of the skin and subcutaneous structures of the perineum and abdominal wall is important. (medscape.com)

These updated guidelines may help surgeons in selecting the optimal approach and location of abdominal wall incisions. (medtronic.com)
Practice surgical incisions and improveyour suturing techniques with the SuturePad 3 Layers. (imimx.com)
Despite drainage incisions and negative pressure wound therapy (NPWT), the evolution of the fasciitis was difficult, due to bronchopleurocutaneous fistula. (spandidos-publications.com)
11 However, paramedian incisions may cause irritation of the tissues included in the closure and postoperative abdominal wall pain. (veterinaryirelandjournal.com)
14 Also, the benefits of transverse incisions for reducing postoperative pain are questionable.15 Transverse abdominal incisions in small animals are reserved for specific procedures such as the flank approach for ovariohysterectomy or the grid approach (small transverse right-paracostal incision) for minimally invasive prophylactic gastropexy. (veterinaryirelandjournal.com)

PG is also indicated for difficult wound healing, such as chronic cutaneous ulcers, diabetes foot ulcerations ( 11 ) and other chronic non-healing wounds ( 12 ), in the reduction of postoperative pain ( 13 ), in the treatment of soft tissue traumas and in soft tissue and bone reconstruction ( 14 ). (iiarjournals.org)

however, early primary abdominal closure failed due to severe peritonitis. (jtraumainj.org)
Prognostic scoring systems to predict outcome in peritonitis and intra-abdominal sepsis. (ijsurgery.com)
It protects the abdominal viscera and aids in the localization and resolution of peritonitis. (vin.com)

A cranial ventral abdominal midline incision can be used to gain access to the omentum and its attachments in order to create a pedicle. (vin.com)

This device applies sub-atmospheric pressurethat leads to reduced bowel wall edema , bacterial count and inflammatory burden found in openabdominal wounds. (edu.pk)
A thorough understanding of abdominal wall anatomy is essential for choosing and making the proper surgical incision. (medscape.com)
The musculature of the abdominal wall is composed of 2 muscle groups. (medscape.com)
The external oblique muscle is the largest and most superficial of the flat muscles of the abdominal wall. (medscape.com)
Two important surgical landmarks are formed by the aponeuroses of the abdominal wall muscles. (medscape.com)
In addition, Dr. Butler is an active clinical and basic science researcher and mentor with an interest in post-oncologic and torso reconstruction, including the abdominal wall, breast, chest wall, pelvis, perineum and spine. (mdanderson.org)
A mesh sling may be used and attached to the abdominal wall, where the body tissue will grow around and into it to provide strength and support. (encyclopedia.com)
Therefore, after the initial resuscitation stage, the abdominal wall should be closed at an early stage. (jtraumainj.org)
Background: An intestinal stoma is a surgical opening of the intestine, mostly sutured to the anterior abdominal wall. (scirp.org)
Our preliminary results show that this skin closure system has a potential application for abdominal wall closure in case of C-section. (gynaecologyjournal.com)
it allows rapid access to the abdomen with minimal damage to nerves, vessels and abdominal wall muscles (Figure 1). (veterinaryirelandjournal.com)
The multimodal approach included botulinum toxin A (BTA) injections to the abdominal wall flat muscles (external oblique, internal oblique, and transverse abdominus), installation of an abdominal reapproximation anchor (ABRA) dynamic tissue system (DTS), and porcine urinary bladder matrix (PUBM) xenografts. (jwmr.org)
The reestablished linea alba restores a biomechanically functional abdominal wall. (jwmr.org)
Postoperative disrupted abdominal wall management by a new tissue expansion technique. (who.int)
[ 1 ] This situation is frequently encountered during closure of prior fasciotomies or delayed reconstruction of traumatic/contaminated abdominal wall defects. (medscape.com)

enhance healing and care of soft tissue wounds. (edu.pk)
Rather the mesh itself fills the wound and allows tissue to grow into and around it. (encyclopedia.com)
In this case, the association of regenerative medicine using homologous PG to the VAC therapy was employed in order to enhance the effect of both techniques on tissue repair. (iiarjournals.org)
These proteins regulate various processes involved in wound healing and tissue regeneration by regulating cell proliferation, cell differentiation, angiogenesis, matrix deposition and tissue remodeling ( 7 ). (iiarjournals.org)
12 In a study of dogs, prescrotal neuters resulted in a higher rate of self-trauma than did scrotal neuters, 11 which may be attributed to scrotal neuters being performed without suture closure, thus lessening the amount of tissue handling. (cliniciansbrief.com)
4 Rough tissue handling, poor ligation technique, inexperience, and inadequate exposure may play a role in intra-abdominal hemorrhage. (cliniciansbrief.com)
Histopathological analysis revealed that the modified 8-suture technique resulted in less pronounced fibrosis associated with inflammatory changes, decreased areas of necrosis and tissue loss, increased connective tissue around the region, and higher collagen development compared to the standard suture technique. (jabsonline.org)
A new technique has been presented that results in an acceleration of delayed primary healing with full thickness skin and subcutaneous tissue coverage. (who.int)
Tissue bioengineering is a new branch of Science aiming to investigate and integrate techniques of tissue regeneration thorugh new biomaterials including natural markers (growth factors) and tissue and cellular components (mesenchymal stem cells). (bvsalud.org)
[ 2-4 ] Pending negative cultures and final tissue pathology also influence the timing of definitive closure in patients undergoing staged replacement of infected total joints and oncologic reconstruction, respectively. (medscape.com)
When used as an adjunct in wound reconstruction, negative pressure wound therapy (NPWT) potentiates healing through increased local blood flow and granulation, reduced tissue edema, and controlled bacterial proliferation. (medscape.com)

Diagnostic peritoneal lavage (DPL) is an invasive emergency procedure used to detect hemoperitoneum and help determine the need for laparotomy following abdominal trauma. (msdmanuals.com)

closure: a 7-year experience with 112 patients. (edu.pk)
What are the benefits and risks of negative pressure wound therapy for managing the open abdomen in people who are not trauma patients? (cochrane.org)
We searched for studies that compared NPWT with any other type of temporary abdominal closure in non-trauma patients with open abdomen. (cochrane.org)
Laparoscopic radical hysterectomy has emerged as an alternative to abdominal radical hysterectomy for patients with stage I cervical cancer. (medscape.com)
Laparoscopic hysterectomy is a preferable alternative to open abdominal hysterectomy for those patients in whom a vaginal hysterectomy is not indicated or feasible. (medscape.com)
These patients may need a colostomy, urinary diversion, or extraperitoneal lymph node dissection to satisfactorily manage the clinical situation. (medscape.com)
Clinical files of 172 patients who were operated due to gastrointestinal tract malignancies in our clinic between January 2007 and January 2011 were retrospectively analyzed. (turkjsurg.com)
In the presence of co-morbid factors that disrupt wound healing in surgical patients with gastrointestinal malignancy, retention suture can be safely used as a supplement for optimal wound care. (turkjsurg.com)
Results Between August 2014 and February 2018, 802 patients were randomized to either Hughes closure (401) or the standard mass closure group (401). (plymouth.ac.uk)
A combination of acellular dermal matrix graft, negative pressure wound therapy, and skin graft techniques is a considerable management sequence for patients subjected to delayed OA treatment. (jtraumainj.org)
In these patients, the abdomen closure has been an important issue whereby it can be managed either by primary closure or any techniques of laparostomy. (ijsurgery.com)
On analysis of both groups, the patients undergoing modified bagota also had better outcomes in terms of significantly lower value on pain scale and lesser duration of hospital stay, early resumption of activities however, in failed cases of group A these advantages were outweighed by conversion to open laparostomy hence this calls for appropriate selection of closure technique at the very outset. (ijsurgery.com)
Koniaris Leonidas G, George D, Peter A. Dynamic retention: a technique for closure of the complex abdomen in critically III patients. (ijsurgery.com)
The Visual analog scale for pain: clinical significance in postoperative patients. (ijsurgery.com)
1,4,16 Postoperative abdominal hemorrhage is noted in ≤2.8% of patients undergoing gonadectomy. (cliniciansbrief.com)
[ 8 ] In a retrospective cohort of 370 patients undergoing emergency major abdominal procedures, Wisely et al reported shorter hospital stays and better outcomes in the ERAS group. (medscape.com)
Résultats : durant cette période, 4,6% (n=105) des patients présentaient un traumatisme abdominal dont 66,7% (n=70) avaient un traumatisme abdominal grave. (bvsalud.org)

Specific pathologies like severe intraabdominal sepsis, trauma requiring damage control, abdominal compartment syndrome, stagedabdominal repair and other complex abdominal pathologies can be managed with a noveltechnique of Vacuum Assisted Closure dressing. (edu.pk)
Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome. (ijsurgery.com)
Kaam PC, Gulsah S, Gurhan S. Abdominal compartment syndrome: current problems and new strategies. (ijsurgery.com)
Lawrence D, Porter John M, Simon RJ, Ivatury Rao R. Intra-abdominal hypertension and abdominal compartment syndrome. (ijsurgery.com)

To reduce variability all the skin closures were performed by the same surgeon (ADP), an experienced obstetrician. (gynaecologyjournal.com)

One of the proposed techniques to improve the postoperative recovery and to accelerate the initiation of adjuvant chemotherapy is the mesh reinforcement of the perineal wound. (massimomongardini.com)

Collier M. Know-how: vacuum-assisted closure (VAC). (edu.pk)
The vacuum-assisted closure (VAC) system is a non invasive device used in the management of complicated wounds, which creates sub-atmospheric pressure promoting the wound healing process. (iiarjournals.org)

The success of a gynecologic procedure performed through an abdominal incision depends on careful selection of the incision site and proper closure of the wound. (medscape.com)

In particular, this has been a method used successfully in cats with chronic non-healing wounds. (vin.com)

A retrospective observational clinical study in 50 infants with GS using the association of intestinal abnormalities, impossibility of primary closure of the abdominal defect and reoperation necessity as classification criteria for the disease. (bvsalud.org)

We did not find any studies that compared NPWT with other types of temporary abdominal closure. (cochrane.org)
Historically, temporary abdominal closure techniques have included the Bogota bag and the static traction closure Wittmann Patch [ 3 , 4 , 7 , 8 ]. (jwmr.org)

The aim is to incise through the linea alba and to avoid cutting into the rectus abdominal muscles. (vin.com)
Nevertheless, in 15-20% of the cases, due to the localization of the disease (within 5 cm of the anal verge), the infiltration of he anal sphincter muscles or the impossibility to achieve a negative resection margin (5 cm proximally and 2 cm distally), a conservative technique preserving the perineal plane and the sphincteric structures is precluded. (massimomongardini.com)
Botulinum toxin A (BTA) injections can be used concurrently with AbThera to relax the abdominal flat muscles. (jwmr.org)
This aids in myofascial closure by providing dynamic tension that gradually facilitates relaxation of the rectus myofascial units, allowing the myofascial gap (MFG), defined as distance between the medial edges of the rectus muscles, to decrease over time [ 2 , 5 , 9 ]. (jwmr.org)

In these situations, incorporation of continuous dermatotraction can expedite wound reapposition by capitalizing on the viscoelastic properties of skin to induce mechanical creep. (medscape.com)

Our aim was to implement a protocol combining both the techniques and to analyze its outcomes. (medtronic.com)
Moreover, for improved perineal wound healing, it guaranteed a faster start of the adjuvant therapy with clear reduction in oncological outcomes (i.e., recurrences and death). (massimomongardini.com)

The method selected for closure, choice of suture material and the use of an optimal surgical technique are factors under the surgeon's control that may reduce the complication rate when this approach is chosen. (veterinaryirelandjournal.com)

We introduced the management of a patient who had a delayed OA treatment spanning approximately 3 months due to severe abdominal contamination. (jtraumainj.org)

Practice first aid measures and traumaticwound treatment with the Trauma Torso.The trainer represents a realistic injuredtorso with laceration, avulsion, andgunshot wounds. (imimx.com)

Aggressive surgical debridement results in pathergy and a paradoxical worsening of the wound. (contemporaryobgyn.net)
Along with debridement, surgical procedures may include complex closure, suprapubic tube placement, and fecal diversion. (medscape.com)

Animal wellbeing, radiological contrast studies, gross intra-abdominal pathology and histological evaluation at post-operative days 5, 7, and 10. (omicsonline.org)
also able to explain post operative care including diet restrictions, medication requirements, use of drains/wound care supplies. (myresumedb.com)

After reposition of the abdominal organ, we repaired the diaphragmatic defect with interrupted suture. (sages.org)
The large perineal defect, with impaired wound healing and delayed start of the adjuvant chemotherapy, can make the reconstructive phase of abdominoperineal resection for low rectal cancer extremely challenging. (massimomongardini.com)
Seventeen wounds (94%) were closed directly, whereas the remaining defect required coverage with a local muscle flap and skin graft. (medscape.com)

Most SSIs arise from the patient's endogenous flora, which contaminates the wound by direct contact during the procedure. (isid.org)

Colectomies can be performed either laparoscopically or via an open abdominal incision. (medscape.com)

Sealants applied over the closure lines may help in the prevention of leakage by reinforcing the anastomosis during the initial susceptible healing period, allowing the natural healing process additional time by mechanically supporting the bowel edges. (omicsonline.org)
Clinical studies are required in order to evaluate its efficacy in reducing the rate of gastrointestinal anastomotic leakage. (omicsonline.org)

He had a history of stung injury in his back 5 years ago and he underwent only closure of the primary wound without further examination. (sages.org)
The primary focus of this chapter is to review the indications, surgical technique, and advantages of TLH for women who are candidates for a hysterectomy. (medscape.com)
Thoracic necrotizing fasciitis has been reported as primary when there is no lesion of cutaneous or secondary when there is a discontinuity of skin integrity, neighborhood (cervical, abdominal) or proper thoracic. (spandidos-publications.com)
This will hopefully alter the milieu of the wound so it can eventually undergo primary healing. (vin.com)
Life-threatening streptococcal myonecrosis complicating primary wound closure after pilonidal sinus excision. (clinicalsurgeryjournal.com)

We do not know if negative pressure wound therapy (NPWT, defined as pressure lower than a given reference pressure, generally causing suction) helps abdominal wounds to heal quicker or reduces potential harmful effects compared with using a Bogota bag (a sterilised fluid bag used for closing abdominal wounds). (cochrane.org)
We do not know if a Suprasorb CNP system (a type of NPWT) helps abdominal wounds to heal quicker or reduces potential harmful effects compared with using an ABThera system (another type of NPWT). (cochrane.org)
NPWT uses a sealed dressing connected to a vacuum pump to drain fluid from a wound. (cochrane.org)
Negative pressure therapy (NPWT) systems, such as AbThera (KCI USA), are a recent addition to the surgeon's toolbox that should only be used as a bridge to definitive closure. (jwmr.org)
Eighteen wounds were treated with traction-assisted internal NPWT using the conventional (n = 11) or modified instillation (n = 7) technique. (medscape.com)
Traction-assisted internal NPWT provides a safe and effective alternative to reduce wound burden and facilitate definitive closure in cases where delayed reconstruction of high-tension wounds is planned. (medscape.com)

After the index operation, during which a large abdominal exposure is necessary for appropriate management of these pathologies, definitive closure of the abdomen may not be possible due to patient instability [ 2 , 3 ]. (jwmr.org)

The key of this procedure is a suturing technique in narrow area and vertical situation. (sages.org)
The laparoscope is often reinserted after closure of the vaginal cuff to inspect the abdomen and vaginal cuff for adequate hemostasis at the end of the procedure. (medscape.com)
Thus, the Azorin procedure (transcervical mediastinoscopic closure of the left main bronchus) was performed. (spandidos-publications.com)
DPL is invasive and risks iatrogenic damage to abdominal organs during the procedure. (msdmanuals.com)

Definitive closure of this class 4 wound was facilitated by the antimicrobial and accelerated wound healing properties of PUBM as well as a unique multimodal approach to achieve exemplary results in a patient with multiple complex surgical issues. (jwmr.org)
Therapy continued for 3 to 8 days (mean, 4.3 days), resulting in an average wound surface area reduction of 78% (149 cm 2 vs. 33 cm 2 ) at definitive closure. (medscape.com)

This work was presented as a poster presentation at the 2022 Symposium on Advanced Wound Care (SAWC) on October 13, 2022, in Las Vegas, NV, USA. (jwmr.org)

There is no standard technique on the method of closure following cesarean delivery. (intechopen.com)
Her cesarean delivery is performed without incident, and the decision is made to empirically place a Prevena closed incision wound VAC. (contemporaryobgyn.net)

However, the disease was named after Jean-Alfred Fournier, a Parisian venereologist, on the basis of a transcript from an 1883 clinical lecture in which Fournier presented a case of perineal gangrene in an otherwise healthy young man, adding this to a compiled series of 4 additional cases. (medscape.com)
In anecdotes, Fournier described recognized causes of perineal gangrene, including placement of a mistress' ring around the phallus, ligation of the prepuce (used in an attempt to control enuresis or as an attempted birth control technique practiced by an adulterous man to avoid impregnating his married lover), placement of foreign bodies such as beans within the urethra, and excessive intercourse in diabetic and alcoholic persons. (medscape.com)

PMF 5001 (1947) - Colostomy Closure (End-to-End Anastomosis), surgical repair of left upper abdominal colostomy (13 min). (wikipedia.org)

This specimen should include the wound edge and ulcer base for permanent histopathology (formalin). (contemporaryobgyn.net)
This report was followed by a few other studies that evaluated the applicability and feasibility of ERAS in emergency surgical settings ranging from simple closure of a perforated peptic ulcer to major abdominal operations. (medscape.com)

Anatomy4

Diseases7

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment9

Phenomena and Processes1

Technology, Industry, Agriculture3

Dehiscence13

Complications12

Infection20

Sutures16

Fascia3

Incisional12

Intra-abdominal pressure1

Infections7

Surgery16

Hernia5

Cavity4

Fascial6

Incisions5

Postoperative pain1

Peritonitis3

Midline incision1

Wall15

Tissue11

Laparotomy1

Patients17

Compartment syndrome4

Skin closures1

Reinforcement1

Vacuum assisted closure2

Incision site1

Chronic non-healin1

Intestinal1

Temporary2

Muscles4

Continuous1

Outcomes2

Suture material1

Severe abdominal1

Trauma1

Debridement2

Post-operative2

Defect3

Patient's1

Open abdominal1

Leakage2

Primary5

NPWT6

Pathologies1

Procedure4

Definitive closure2

20221

Cesarean delivery2

Perineal2

Anastomosis1

Ulcer2