• Incision
  • The sheet with loops facing outwards is then pushed between parietal and visceral peritoneum of the other side of the incision covering abdominal content. (wikipedia.org)
  • Decompressive laparostomy for ACS is a life-saving procedure usually performed through a midline incision followed by a negative pressure wound dressing. (nih.gov)
  • infection
  • Wound infection is the discharge of pus from a primarily closed wound, or evidence of soft tissue necrosis or cellulitis about a wound that remains open for delayed or secondary closure. (nih.gov)
  • Necrotizing fasciitis occurs when the rectus or lateral abdominal wall investing fascia becomes necrotic and undergoes dissolution from invasive infection arising from the surgical wound of the abdominal wall. (nih.gov)
  • The diagnosis of wound infection is made from the identification of pus which is discharged from the closed wound. (nih.gov)
  • Cultures are useful from the wound in the multiply-operated patient and will reflect the source of contamination responsible for the infection. (nih.gov)
  • Late necrotizing infection from multiply-operated open wounds may reflect resistant nosocomial pathogens from the intensive care unit environment, and require cultures. (nih.gov)
  • In fact, concurrent infection is a risk factor for abdominal wound dehiscence, and the prevention of wound infection would reduce substantially the incidence of dehiscence and herniation in abdominal wounds. (springer.com)
  • When present, infection and disruption of wounds and tissues were associated with a higher risk of reoperation and a prolonged postoperative admission. (springer.com)
  • On the other hand, common for all tissues subject to surgery is disruption of the local vascular supply, thrombosis of the vessels, and tissue hypoxia that also have some influence in the proliferation of bacteria in the wound and tissue, which affects each process involved in healing and increases the risk of wound infection, delayed healing, and dehiscence. (springer.com)
  • Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. (springer.com)
  • surgery
  • Damage control surgery (DCS) is a technique of surgery used to care for critically ill patients. (wikipedia.org)
  • Dietmar H. Wittmann, M.D., Ph.D., FACS is an academic surgeon specializing in complex abdominal surgery. (wikipedia.org)
  • Based on these studies Dr. Wittmann habilitated for Professor of Surgery at University of Hamburg defending his thesis about the concentration dynamics of antimicrobials intra-abdominal infections. (wikipedia.org)
  • decompression
  • If unable to manage as above, then emergent abdominal decompression is warranted. (oncologynurseadvisor.com)
  • Immediately after decompression, the intra-abdominal pressure dropped from 23 mmHg to 10 mmHg, and the respiratory, cardiovascular and renal functions improved markedly leading to full recovery. (nih.gov)
  • Transverse subcostal laparostomy is a promising alternative decompression technique for ACS in SAP. (nih.gov)
  • anterior abdo
  • It is generally a sterilized, 3 litre genitourinary irrigation bag that is sewn to the skin or fascia of the anterior abdominal wall. (wikipedia.org)
  • The inguinal canal is a diagonal passage in the lower anterior abdominal wall which measures approximately 4 cm in length and is made up of the aponeuroses of the external oblique, internal oblique, and transversus abdominus muscles. (thefreedictionary.com)
  • bowel
  • Another advantage to the Bogota bag is that the abdominal contents can be visually inspected which is particularly useful in cases of ischemic bowel. (wikipedia.org)
  • Eviscerating the intra-abdominal small bowel and packing all four abdominal quadrants usually will allow surgeons to establish initial hemorrhagic control. (wikipedia.org)
  • Wittmann
  • The culmination of experiences led Dr. Wittmann to begin to develop a means to keep the abdominal wall safely open for serial intra-operative treatment and control of healing processes. (wikipedia.org)
  • infections
  • After a year political unrest forced the Wittmanns to return to Germany but by then he had seen many diseases in their advanced stages including abdominal infections. (wikipedia.org)
  • necrosis
  • In the open wound, advancing cellulitis and progressive wound necrosis of the soft tissue margins confirm the diagnosis. (nih.gov)
  • Open surgical wounds that are culture-positive or have superficial exudate but are without either necrosis or cellulitis should not be considered infected. (nih.gov)
  • fistula
  • Conclusion: Dual omental flap offers an alternative technique in obliterating postpneumonectomy fistula. (ac.ke)
  • The two flap technique allows for one flap to completely seal the fistula while the second flap provides an additional airtight closure over the first flap and hence prevents any leakages. (ac.ke)
  • peritoneal
  • Figures 3 and 4 are axial and coronal post-gadolinium magnetic resonance (MR) images showing the intense enhancement pattern of the mass limited to the abdominal wall with no associated peritoneal or visceral abnormality. (thefreedictionary.com)
  • The standard of care is to decompress the peritoneal space, which may be accomplished by a variety of techniques depending on the etiology of the ACS. (oncologynurseadvisor.com)
  • surgical
  • Defended surgical specialist thesis Modified Rives Technique in Groin Hernia Treatment thus obtaining a position of a specialist surgeon. (de-klinika.rs)