Complications fascial closure abdominal wound closure techniques. Medical search. Frequent questions

The objective of this network meta-analysis (NMA) was to evaluate the effectiveness of MCTs for reducing the incidence of IH and abdominal wound dehiscence (AWD) to provide objective support for their recommendation. (bvsalud.org)
AIMS: The most common postoperative complication when treating a pressure ulcer with a flap or primary closure is early wound dehiscence. (bvsalud.org)
In this study, we aimed to investigate the cause of early wound dehiscence and its associated risk factors. (bvsalud.org)
Early wound dehiscence was defined as the wound dehiscence within the post operation period where no weight or tension is applied to the wound. (bvsalud.org)
Surgical wound dehiscence. (lookformedical.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)
[ 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)
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)
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)
Healing after the surgical techniques previously described is routine unless incisional infection that causes dehiscence develops. (veteriankey.com)

OBJECTIVE: To determine the impact of negative pressure wound therapy of closed abdominal incisions on wound complications. (bvsalud.org)
This article reviews pertinent abdominal wall anatomy, discusses various options for abdominal incisions, and examines various sutures available to surgeons. (medscape.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)
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)
11 However, paramedian incisions may cause irritation of the tissues included in the closure and postoperative abdominal wall pain. (veterinaryirelandjournal.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)
In humans, transverse incisions have been recommended by some authors because of the lower incidence of incisional herniation and fewer postoperative complications compared to vertical midline incisions. (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)
These updated guidelines may help surgeons in selecting the optimal approach and location of abdominal wall incisions. (medtronic.com)
Dr. Glover was the first in central Texas in 2016 to employ the eTEP technique which allows for a retro-muscular repair through 3 incisions, which previously required 6 incisions or an open procedure. (austinherniacenter.com)
Despite drainage incisions and negative pressure wound therapy (NPWT), the evolution of the fasciitis was difficult, due to bronchopleurocutaneous fistula. (spandidos-publications.com)
Abdominal wall hernias can be divided into primary hernias, that are not related to incisions and incisional hernias. (radiologyassistant.nl)

BACKGROUND: Surgical wound complications including surgical site infection complicating open abdominal operations are a burden on the economy. (bvsalud.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)
This equates to a more economical way to close traumatic and intentional surgical wounds, less wound infection and less overall complications. (dvm360.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)
The incidence of postoperative complications for laparoscopic appendicectomy, including wound infection, is significantly less than for the open procedure, because the inflamed appendix is extracted within the trocar and did not touch the abdominal wall [ 4 ]. (scholars.direct)
19 days after the procedure, the patient has come back to the hospital with abdominal pain and swelling in the right iliac fossa (RIF), evolving with infection of the surgical site, being treated with drainage and 500 mg amoxicillin and 125 mg clavulanate, with apparent resolution, being discharged home past 4 days. (scholars.direct)
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)
As the microorganisms responsible for the infection multiply, infection spreads along the anatomical fascial planes, often sparing the deep muscular structures and, to variable degrees, the overlying skin, making the extent of involvement difficult to appreciate. (medscape.com)
Moshe S. Surgical Management of intra- abdominal infection: is there any evidence? (ijsurgery.com)
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)
Incisional hernias usually may result from 1) poor wound healing whether from infection, obesity, poor nutrition, or certain medications (most commonly steroids), and 2) repeated wear and tear to the surgical incision. (drmatthewlublin.com)
RESULTS: All animals survived, and no leakage, intestinal obstruction, or wound infection was observed during the experiment. (bvsalud.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)
The surgeon needs to consider multiple factors before making an abdominal incision. (medscape.com)
Complications during surgery can occur because of inadequate exposure, which is often due to the unwillingness of the surgeon to extend the incision. (medscape.com)
A thorough understanding of abdominal wall anatomy is essential for choosing and making the proper surgical incision. (medscape.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)
Incisional hernia is a frequent complication of abdominal wall incision. (medtronic.com)
Meticulous closure of the incision is significant for every patient. (medtronic.com)
Incisional hernias are hernias that occur anywhere in the abdomen wall in an area of a prior surgical incision (wound). (drmatthewlublin.com)
When an incision is made through the abdominal wall for a surgery, that area is inherently weaker than other areas of the abdominal wall. (drmatthewlublin.com)
Most any prior abdominal operation or incision can develop into an incisional hernia. (drmatthewlublin.com)
In other words, if a hernia developed after a simple suture repair of the wound (closing the incision with a stitch or suture only), then the hernia should be closed another way. (drmatthewlublin.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)
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)
Operatively, component separation techniques are performed on complex hernias in order to medialize the rectus fascia and achieve a tension-free closure. (acohcostarica.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)
Because abdominal wall hernias are defects of the fascia of the abdominal wall, these fascia layers need to be brought together during surgery. (radiologyassistant.nl)

[ 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)
While mesh complications are uncommon, the majority of them are related to intraperitoneal mesh, meaning mesh placed inside the abdominal cavity adjacent to mobile intestine. (austinherniacenter.com)
Volume of the hernia sac in relation to the total peritoneal volume, also called "loss of domain", in order to determine whether there is enough space to reduce all herniated contents into the abdominal cavity without risk of recurrence or ventilatory restriction. (radiologyassistant.nl)
When a person has an incisional hernia, abdominal organs, most commonly the small intestine or omentum (a layer of abdominal fat that coats the abdominal cavity), may protrude through this hole and create a visible lump or bulge. (drmatthewlublin.com)

BACKGROUND: Incisional hernia (IH) is the main complication after laparotomy. (bvsalud.org)
METHODS: A randomized controlled trial involving 140 patients post-laparotomy with primary wound closure was divided into 2 groups (70 patients each). (bvsalud.org)
The necrotizing fasciitis is more common after laparotomy for contaminated or infected abdominal procedures. (scholars.direct)
Therefore, since NF is a very rare complication of appendicectomy, especially if performed by laparoscopy, there are many reports of NF after laparotomy appendicectomy and several laparoscopic surgeries, but few studies have reported the occurrence after laparoscopic appendicectomy. (scholars.direct)
Incisional hernia is a frequent postoperative complication after midline laparotomy. (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)
Objectives During temporary abdominal closure (TAC) with damage control laparotomy (DCL), infusion volume and negative-pressure wound therapy (NPWT) output volume are associated with the success and prognosis of primary fascial closure. (highwire.org)

The incidence of incisional hernias (IHs) after open repair of an abdominal aortic aneurysm (AAA) is high. (medtronic.com)
Incisional ventral hernias (IHs) are a common complication across all surgical specialities requiring access to the abdomen, pelvis, and retroperitoneum. (medtronic.com)
Incisional hernias are created from previous abdominal operations, in which the closure of the fascial layer does not heal properly. (austinherniacenter.com)
The vast majority of incisional hernias are repaired minimally invasively using the robotic technique. (austinherniacenter.com)
Abdominal hernias are usually a clinical diagnosis and have been considered a simple problem to be repaired. (radiologyassistant.nl)
In this article we will adress the key imaging features of complex abdominal wall hernias. (radiologyassistant.nl)
Primary abdominal hernias are hernias, that are located at certain weak spots in the abdominal wall. (radiologyassistant.nl)
This was a prospective study of all adult patients with abdominal wall hernias treated with mesh implants from January 2009 to December 2015. (archintsurg.org)
A total of 110 patients with abdominal wall hernias had mesh implants repair. (archintsurg.org)
The use of mesh implants to repair abdominal wall hernias in our environment is safe and effective. (archintsurg.org)
Abdominal wall hernias are very common worldwide and represent a leading cause of morbidity and mortality in various parts of Africa. (archintsurg.org)
In the past, the legendary Bassini technique for inguinal hernias and a myriad of suture-based methods for other abdominal wall hernias constituted the gold standard for hernia repair worldwide, but the trend has changed in the industrialized nations largely due to the discovery of the more efficient tensionless repair with prosthetic meshes. (archintsurg.org)
[5] , [6] However, in many parts of developing nations, especially sub-Saharan Africa, the utilization of non-mesh methods to repair abdominal wall hernias remain popular, even with hernias that have multiple prognostic indicators of early treatment failure or high recurrence index. (archintsurg.org)
Incisional hernias may cause discomfort or pain near or around the belly button, when abdominal contents get caught in the hole. (drmatthewlublin.com)

The abdominal deformity is excess skin and subcutaneous tissue and laxity of the abdominal wall musculature. (medscape.com)
It includes (1) excess skin and subcutaneous tissue and (2) laxity of the abdominal wall musculature. (medscape.com)
The most common pattern used is the NFFN with the far bites providing closure of the deep subcutaneous tissues and the near bites apposing the skin. (dvm360.com)
In the setting of contamination, a delayed primary closure of the skin and subcutaneous tissues should be considered to minimize the chance of postoperative wound complications. (acohcostarica.com)
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)
Complications of subcutaneous injection ports. (dermcollective.com)
Additionally, recent evidence on fascial plane blocks for subcutaneous-implantable cardioverter-defibrillator implantation are also reviewed. (ekja.org)

[ 9 ] Although aponeurotic suturing in the midline was noted to be able to reduce anterior projection of the abdominal wall, it did little to reduce the diameter of the waist. (medscape.com)

For this study, modified closure techniques (MCTs) were considered as those techniques in which an extra suture is placed (reinforced tension line (RTL), retention), the closure point is modified in distance (small bites) or shape (CLDC, Smead Jones, interrupted, Cardiff point) and which aim to reduce these complications. (bvsalud.org)
The incidence of HI was lower in RTL, retention suture, and small bites, these techniques showed statistical differences with pooled ORs (95% CI) of 0.28 (0.09-0.83), 0.28 (0.13-0.62), and 0.44 (0.31-0.62), respectively. (bvsalud.org)
Today, it is a suture I reach for when faced with closures that are prone to significant tension and edema. (dvm360.com)
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)
The use of skin staples saves significant amounts of surgical closure time when compared to standard suture closure. (dvm360.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)
Although it is sutured back together, post-operative forces may tear the suture or tissue thereby creating a hole, or hernia, in the abdominal wall. (austinherniacenter.com)
Whereas pediatric articles emphasize the need to fixate the infrapubic skin to the pubic symphysis to better define the base of the penile shaft, my experience with trial suture placement in adults has evinced an unsightly cutaneous recession ans a modification of this technique seems to work better (vide infra). (chirurgie-intime.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)
The hallmark of tension-free repair is the lower short- and long-term recurrence rates compared to suture-based techniques. (archintsurg.org)
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)

Prophylactic negative pressure wound therapy has recently been tried with promising results. (bvsalud.org)
After negative pressure wound therapy for several months, an acellular dermal matrix graft followed by a skin graft were successfully used as treatments. (jtraumainj.org)
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)
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)
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)
This research investigates the need to restrict infusion corresponding to delayed anastomosis by evaluating whether the difference between early anastomosis and delayed anastomosis in temporary abdominal closure management using negative-pressure wound therapy (NPWT) is associated with infusion volume and NPWT output volume. (highwire.org)

In an attempt to reduce this complication, mesh techniques and studies in which the closure technique is modified have been proposed. (bvsalud.org)
Other important principles of hernia repair include complete reduction of the hernia sac, wide mesh overlap, and techniques to control seroma and other wound complications. (acohcostarica.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)
Several randomized controlled trials have reported favorable results with the use of prophylactic mesh to prevent IHs, without increasing complications. (medtronic.com)
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 aim of this study was to document our early experience with the use of mesh in abdominal wall hernia repair. (archintsurg.org)
Most of the challenges relating to the acceptance of mesh, comorbid conditions and post-operative complications can be minimized through discussions and facilitated consultations. (archintsurg.org)
The mesh is placed underneath the defect or hole (the hernia) in the abdominal wall. (drmatthewlublin.com)
Prior to using the technique of mesh closure, the hernia was closed by sewing the edges of the hole (the hernia) together. (drmatthewlublin.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)
Here, the anterior and posterior rectus sheaths connect with the three lateral abdominal wall muscles: the external oblique, the internal oblique and the transverse abdominal. (radiologyassistant.nl)
This illustration demonstrates how the anterior and posterior rectus sheath are formed by the aponeuroses of the external oblique, internal oblique and transverse abdominal muscles. (radiologyassistant.nl)

Muscles forming the ABDOMINAL WALL including RECTUS ABDOMINIS, external and internal oblique muscles, transversus abdominis, and quadratus abdominis. (lookformedical.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)
it allows rapid access to the abdomen with minimal damage to nerves, vessels and abdominal wall muscles (Figure 1). (veterinaryirelandjournal.com)
It may also find other consequences from previous abdominal operations like atrophy of muscles. (austinherniacenter.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)
Condition of the abdominal wall musculature and the ratio between the defect and the width of the rectus muscles (RDR). (radiologyassistant.nl)
The Spigelian hernia is an uncommon hernia at a weak spot between the oblique abdominal muscles and the rectus abdominis. (radiologyassistant.nl)
Fascial plane blocks involve the injection of a local anesthetic between the muscles through which the peripheral nerve travels [ 20 ]. (ekja.org)

Historically, temporary abdominal closure techniques have included the Bogota bag and the static traction closure Wittmann Patch [ 3 , 4 , 7 , 8 ]. (jwmr.org)

however, early primary abdominal closure failed due to severe peritonitis. (jtraumainj.org)
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)
Prognostic scoring systems to predict outcome in peritonitis and intra-abdominal sepsis. (ijsurgery.com)

Our aim was to implement a protocol combining both the techniques and to analyze its outcomes. (medtronic.com)
The quality collaborative is a database created by hernia surgeons that enables them to keep track of their performance, patient outcomes and complications. (austinherniacenter.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)
The differentiation of obesity "degrees" into classes helps stratify risk and estimate complication occurrence, and furthermore, allows for appropriate comparisons in health outcomes to be reached within populations. (bariatrictimes.com)

Pneumothorax as a complication of laparoscopic inguinal hernia repair. (dermcollective.com)

Obesity places a pregnant patient at risk for many serious complications of pregnancy, including maternal and fetal mortality. (bariatrictimes.com)
therefore, the risks of serious complications such as neural injury and neuraxial hematoma can be prevented or at least reduced. (ekja.org)
However, serious complications such as dural puncture, sympathetic block, spinal hematoma, and epidural abscess can also be seen due to epidural application [ 5 ]. (biomedcentral.com)

Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome. (ijsurgery.com)
Lawrence D, Porter John M, Simon RJ, Ivatury Rao R. Intra-abdominal hypertension and abdominal compartment syndrome. (ijsurgery.com)

Both types are characterized by comparison with the closure described as standard or conventional: 1 × 1, mass, and continuous closure. (bvsalud.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)
Continuous administration of local anesthetics through ESPB has been well studied, and catheter placement along the fascial surface is expected to provide stability. (anesth-pain-med.org)

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)
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)
Obesity, diabetes, smoking and wound infections increase the likelihood of having an incisional hernia. (austinherniacenter.com)
Assessing the severity of intra-abdominal Infections: the value of APACHE II Scoring System. (ijsurgery.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)
The purpose of this study is to determine whether the gentamicin-collagen sponge is safe and effective for preventing surgical wound infections in patients undergoing colorectal surgery. (stanford.edu)

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)
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)
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)
[ 1 ] This situation is frequently encountered during closure of prior fasciotomies or delayed reconstruction of traumatic/contaminated abdominal wall defects. (medscape.com)
[ 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)
Does Previous Chest Wall Irradiation Increase Vascular Complications in Free Autologous Breast Reconstruction? (lww.com)

[ 11 ] Its key features include limited direct undermining, increased lateral skin resection with high tension wound closure along lateral limbs, and 2-layer superficial fascial system (SFS) repair. (medscape.com)
This infectious process involves the superficial and deep fascial planes of the genitalia. (medscape.com)

At issue are 3 contributing factors: progressive marginal retraction by elastic recoil and/or loss of fascial retention, surrounding tissue edema, and soft tissue deficit from operative resection. (medscape.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)
Due to increased complex abdominal wall surgery, pre-operative CT planning with abdominal wall mapping has gained increasing attention. (radiologyassistant.nl)
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)
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)
The overall complication rate was 12.7% and over 81% were discharged home by the 4th post-operative day. (archintsurg.org)

The musculature of the abdominal wall is composed of 2 muscle groups. (medscape.com)

The advent of microsurgical techniques has allowed this versatile flap to be transposed to repair soft tissue defects of the head and neck. (medscape.com)
Rectus abdominis free tissue transfer allows for transfer of a large vascularized segment of skin and muscle from the abdominal wall to its intended recipient site. (medscape.com)
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)
It is A retrospective chart review of gynecologic oncology reliable with little tissue loss, and donor site complications are acceptable. (docksci.com)
Abdominal and groin flaps continue to be the workhorse flaps with composite tissue loss. (jotsrr.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)

When this occurs, it leaves a hole or defect in the muscular abdominal wall allowing intraabdominal contents to herniate through. (austinherniacenter.com)
Important muscular structures that surround the abdominal organs are shown in this figure. (radiologyassistant.nl)

Seventeen wounds (94%) were closed directly, whereas the remaining defect required coverage with a local muscle flap and skin graft. (medscape.com)

Fascial plane blocks are useful for multimodal analgesia after cardiac surgery since they can provide effective analgesia without the serious risks associated with conventional techniques such as neuraxial hematoma and pneumothorax. (ekja.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)

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)

The patients were observed for at least 3 weeks for any flap or donor site complications. (jotsrr.org)

Healing is aided by filling the pelvic dead space, patients undergoing distally based rectus abdominis mythereby decreasing bowel complications, and by bringing a new ocutaneous flaps was undertaken. (docksci.com)

The primary objective was to determine the incidence of IH and AWD, and the secondary objective was to determine the incidence of postoperative complications. (bvsalud.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)
The ABRA DTS assisted in achieving primary fascial closures. (jwmr.org)
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)
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)
Temporary closure of the open abdomen: a systematic review on delayed primary fascial closure in patients witn an open abdomen. (ijsurgery.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)

With the addition of liposuction, Matarasso in 1988 expanded the use of abdominal contour surgery to a classification based on variations in patients' anatomy, from liposuction alone to limited and full abdominoplastic surgery. (medscape.com)
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)
Preopera- tive adjuncts such as the injection of botulinum toxin and progressive preoperative pneumoperitoneum are proven to help achieve fascial closure in patients with hernia defects and/or loss of domain. (acohcostarica.com)
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)
Koniaris Leonidas G, George D, Peter A. Dynamic retention: a technique for closure of the complex abdomen in critically III patients. (ijsurgery.com)
However, long-term follow-up of patients has shown disappointing results, both in terms of complications and recurrence (1). (radiologyassistant.nl)
Methods This single-center retrospective analysis targeted patients managed with TAC during emergency surgery for trauma or intra-abdominal sepsis between January 2011 and December 2019. (highwire.org)
As the rationale for applying these less invasive techniques is to alleviate physiological deterioration due to extensive surgical wounds and accompanying pain and thereby enhance recovery, immediate or early extubation is often attempted in these patients. (ekja.org)

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)

Kaam PC, Gulsah S, Gurhan S. Abdominal compartment syndrome: current problems and new strategies. (ijsurgery.com)
It can occur with any elevation in interstitial pressure in a closed osseo-fascial compartment. (openorthopaedicsjournal.com)
It can occur with any elevation in interstitial pressure within an osseo-fascial compartment. (openorthopaedicsjournal.com)

All require this flap for indications, additional procedures, and complications. (jotsrr.org)

This study aimed to determine the significance of retention sutures in preventing these complications. (turkjsurg.com)

Delayed closure of an open abdomen (OA) is a clinically challenging task despite its various modalities. (jtraumainj.org)

Among the various thoracic regional techniques, fascial plane blocks are emerging as an effective alternative to conventional techniques such as paravertebral, epidural, or spinal blocks [ 17 - 19 ]. (ekja.org)
With the widespread use of ultrasound (US) in recent years, different thoracic wall block techniques, which are claimed to cause fewer complications, have begun to be applied [ 7 ]. (biomedcentral.com)

Indications for a total laparoscopic hysterectomy (TLH) are similar to those for total abdominal hysterectomy (TAH) and may include leiomyomata, pelvic organ prolapse, and abnormal uterine bleeding. (medscape.com)
On occasion, abdominal surgery can sometimes lead to chronic abdominal nerve pain or chronic pelvic nerve pain. (ancasta.pl)

This narrative review covers blocks performed at the parasternal intercostal, interpectoral, pectoserratus, serratus anterior, erector spinae, and retrolaminar planes, which are targets for fascial plane blocks in cardiac surgery. (ekja.org)
Paravertebral block (PVB), erector spinae plane block (ESPB), serratus anterior plane block, and intercostal block have been proposed as analgesic techniques for VATS [ 2 , 3 ]. (anesth-pain-med.org)

Pomper S, Fiorillo MA, Kopatsis A, Anderson C. Hematuria associated with ruptured abdominal aortic aneurysms. (dermcollective.com)

Instillation of antimicrobial solution was reserved for wounds containing infected/exposed hardware or prosthetic devices. (medscape.com)

Background: An intestinal stoma is a surgical opening of the intestine, mostly sutured to the anterior abdominal wall. (scirp.org)
Cardiac surgery has become increasingly less invasive with advancements in surgical instruments and techniques, such as minimal invasive direct coronary artery bypass (MIDCAB) graft surgery and anterior thoracotomy for valve surgery [ 9 ]. (ekja.org)

Kelly was one of the first surgeons to attempt to correct excess abdominal skin and fat. (medscape.com)
Ultimately, the aim for hernia surgeons is to mitigate complications and provide a durable repair while improving patient quality of life. (acohcostarica.com)

Eighteen wounds were treated with traction-assisted internal NPWT using the conventional (n = 11) or modified instillation (n = 7) technique. (medscape.com)
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)

The risk of complications is less compared to TEA and paravertebral block, as the targeted points are far from the pleura and neuraxial plane while blocking [ 13 ]. (biomedcentral.com)

Anatomy5

Diseases9

Chemicals and Drugs3

Analytical, Diagnostic and Therapeutic Techniques and Equipment10

Phenomena and Processes2

Technology, Industry, Agriculture3

Health Care1

Dehiscence13

Incisions12

Infection14

Incision11

Fascia5

Cavity4

Laparotomy7

Hernias14

Subcutaneous7

Midline1

Suture11

Negative pressur6

Mesh10

Transverse3

MUSCLES10

Temporary abdominal closure1

Peritonitis3

Outcomes4

Laparoscopic inguinal hernia repair1

Serious complications3

Intra-abdominal hypertension2

Continuous3

Infections6

Reconstruction6

Superficial2

Operative6

Musculature1

Tissue6

Muscular2

Defect1

Hematoma1

Retrospectively1

Abdomen closure1

Donor site complications1

Rectus1

Primary7

Patients9

Reinforcement1

Compartment3

Flap1

Retention1

Open abdomen1

Thoracic2

Pelvic2

Erector spinae2

Aortic1

Prosthetic1

Anterior2

Surgeons2

NPWT2

Paravertebral1