• postoperative
  • When present, infection and disruption of wounds and tissues were associated with a higher risk of reoperation and a prolonged postoperative admission. (springer.com)
  • Secondary endpoints include the differential effects of these dressings on the systemic concentration of other pro-inflammatory cytokines, collective peritoneal and systemic inflammatory mediator profiles, postoperative fluid balance, intra-abdominal pressure, and several patient-important outcomes, including organ dysfunction measures and mortality. (biomedcentral.com)
  • This book describes the management of complex abdominal wall defects with an emphasis on preoperative management, surgical strategies, and postoperative care. (springer.com)
  • surgery
  • Damage control surgery (DCS) is a technique of surgery used to care for critically ill patients. (wikipedia.org)
  • 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)
  • Surgery of Complex Abdominal Wall Defects has been written to provide this guidance. (springer.com)
  • Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world. (springer.com)
  • Dietmar H. Wittmann, M.D., Ph.D., FACS is an academic surgeon specializing in complex abdominal surgery. (wikipedia.org)
  • midline
  • The infection will be noted to invade laterally from the midline wound. (nih.gov)
  • Decompressive laparostomy for ACS is a life-saving procedure usually performed through a midline incision followed by a negative pressure wound dressing. (nih.gov)
  • contamination
  • Cultures are useful from the wound in the multiply-operated patient and will reflect the source of contamination responsible for the infection. (nih.gov)
  • 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)
  • intensive care
  • Late necrotizing infection from multiply-operated open wounds may reflect resistant nosocomial pathogens from the intensive care unit environment, and require cultures. (nih.gov)
  • anterior
  • 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)
  • 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)
  • In case of the massive peritoneal hypertension both sheets cover the open space and the hook sheet does not need trimming to fit the wound opening. (wikipedia.org)
  • 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)
  • surgeons
  • Surgeons can also apply manual pressure, perform hepatic packing, or even plugging penetrating wounds. (wikipedia.org)
  • The lack of high quality evidence leaves surgeons without clear guidance regarding the selection of technique or material to be used when treating these serious problem. (springer.com)
  • fluid
  • Fascial separation is usually heralded by discharge of serous, bloody, or suppurative fluid from a closed wound. (nih.gov)
  • 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)