• fascia
  • 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)
  • Necrotizing fasciitis is a clinical diagnosis from the identification of necrotic and suppuration of the wound fascia. (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)
  • 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 addition similar trends were found that suggested endoscopic CST has decreased wound infection rates (Odds ratio=1.61), necrosis (Odds ratio=1.44), and hematoma/seroma formation (Odds ratio= 1.93), however these did not reach statistical significance. (sages.org)
  • When present, infection and disruption of wounds and tissues were associated with a higher risk of reoperation and a prolonged postoperative admission. (springer.com)
  • Abdominal wall hernias: risk factors for infection and resource utilization. (springer.com)
  • Wound tissue oxygen tension predicts the risk of wound infection in surgical patients. (springer.com)
  • The vascular supply to the subcutaneous tissue of the abdominal wall is limited, increasing susceptibility to soft-tissue infection. (medscape.com)
  • mesh
  • On day 3-10 a polypropylene mesh is sutured to the fascial edges, between the two layers of the VAWC system, and tightened. (clinicaltrials.gov)
  • The VAWC dressing is changed and the mesh tightened every 2-3 days, resulting in gradual approximation of the fascial edges. (clinicaltrials.gov)
  • TAC without NPWT (e.g., mesh alone, Bogota bag) whenever possible should not be applied for the purpose of TAC, because of low delayed fascial closure rate and being accompanied by a significant intestinal fistula rate. (springer.com)
  • necrosis
  • Fascial necrosis may be associated with ischemia secondary to closure under extreme tension. (nih.gov)
  • In the open wound, advancing cellulitis and progressive wound necrosis of the soft tissue margins confirm the diagnosis. (nih.gov)
  • Excessive tension leads to tissue necrosis and eventual failure of the closure. (medscape.com)
  • tension
  • Reoperation in these circumstances is emergent, hemodynamic circumstances in the patient may be unstable, bacterial contamination is usually extreme, and inflammed and swollen intraabdominal contents may lead to increased tension on the fascial closure of the reoperated wound. (nih.gov)
  • The assistant following the continuous closure should apply sufficient tension to approximate the tissue without strangulating it. (medscape.com)
  • surgery
  • 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)
  • Grazer and Goldwyn's study reflects the preliposuction era of abdominal contouring surgery. (medscape.com)
  • Massive weight loss, whether from dieting or after a gastric bypass surgery, also plays a role in excess skin and laxity of the abdominal wall. (medscape.com)
  • Damage control surgery (DCS) is a technique of surgery used to care for critically ill patients. (wikipedia.org)
  • surgical
  • Fascial dissolution may occur focally or may extend to the full extent of the surgical incision. (nih.gov)
  • patients
  • While laparoscopy itself may be the prime mode of detection and confirmation of malignancy, more often patients who undergo laparoscopic examination have had a previous histologic confirmation by gastrointestinal endoscopic techniques or peripheral node biopsy. (barnardhealth.us)
  • Selection of patients and the technique utilized for laparoscopy in the assessment of patients with ascites and potential peritoneal malignancy depend heavily on the information to be gained from the study. (barnardhealth.us)
  • In patients with significant cardiac and respiratory disease who would not be candidates for open abdominal procedures because of the requirements for general anesthesia, laparoscopy may in fact prove hazardous because of the need for both general anesthesia and a significant pneumoperitoneum. (barnardhealth.us)
  • The full assessment of these patients must be performed using a complement of laparoscopy and imaging techniques since the laparoscope is only able to visualize surface lesions, even though these implants may be quite small. (barnardhealth.us)
  • peritoneal
  • Diagnostic laparoscopy in the assessment of ascites or peritoneal malignancy may be undertaken using general anesthetic techniques or local infiltration with intravenous sedation in the awake patient. (barnardhealth.us)
  • 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)
  • wall
  • The component separation technique (CST) was developed to improve the integrity of abdominal wall reconstruction for large, complex hernias. (sages.org)
  • We report a case in which a staged strategy for early abdominal wall closure was applied to prevent t. (bioportfolio.com)
  • however, it must be kept in mind that the actual layers composing the abdominal wall vary, depending on the location of the incision. (medscape.com)
  • Pregnancy stretches the skin beyond its biomechanical capability to spring back and stretches the musculoaponeurotic structures of the abdominal wall. (medscape.com)
  • computed tomo
  • The location for placement of the Veress needle to establish a pneumoperi-toneum may be determined by the site of the previous incision or by characteristics revealed by the abdominal ultrasound or computed tomography scan. (barnardhealth.us)
  • bowel
  • Additionally, tearing of the mesentery when trying to pull the bowel into the wound for the anastomosis is avoided. (sages.org)
  • Procedure
  • Every physician-endoscopist undertaking laparoscopy should have a clear understanding of the benefits offered by the procedure and should be willing to recommend avoidance of the technique if there is no defineable gain for the patient. (barnardhealth.us)