Staged management of giant abdominal wall defects: acute and long-term results.

@article{Jernigan2003StagedMO,
  title={Staged management of giant abdominal wall defects: acute and long-term results.},
  author={Thomasas Jernigan and Timothy C. Fabian and Martin a. Croce and Natalie Dewberry Moore and Francis Pritchard and Gayle Minard and Tiffany K. Bee},
  journal={Annals of surgery},
  year={2003},
  volume={238 3},
  pages={349-55; discussion 355-7}
}
INTRODUCTION Shock resuscitation leads to visceral edema often precluding abdominal wall closure. We have developed a staged approach encompassing acute management through definitive abdominal wall reconstruction. The purpose of this report is to analyze our experience with this technique applied to the treatment of patients with open abdomen and giant abdominal wall defects. METHODS Our management scheme for giant abdominal wall defects consists of 3 stages: stage I, absorbable mesh… CONTINUE READING

Connections & Topics

Mentioned Connections BETA
In the stage I group , 108 died ( 92% of all deaths ) because of shock .
In the stage I group , 108 died ( 92% of all deaths ) because of shock .
In the stage I group , 108 died ( 92% of all deaths ) because of shock .
In the stage I group , 108 died ( 92% of all deaths ) because of shock .
FasciaNo subtypeViscera
Our management scheme for giant abdominal wall defects consists of 3 stages : stage I , absorbable mesh insertion for temporary closure ( if edema quickly resolves within 3 - 5 days , the mesh is gradually pleated , allowing delayed fascial closure ) ; stage II , absorbable mesh removal in patients without edema resolution ( 2 - 3 weeks after insertion to allow for granulation and fixation of viscera ) and formation of the planned ventral hernia with either split thickness skin graft or full thickness skin closure over the viscera ; and stage III , definitive reconstruction after 6 - 12 months ( allowing for inflammation and dense adhesion resolution ) by using the modified components separation technique .
Our management scheme for giant abdominal wall defects consists of 3 stages : stage I , absorbable mesh insertion for temporary closure ( if edema quickly resolves within 3 - 5 days , the mesh is gradually pleated , allowing delayed fascial closure ) ; stage II , absorbable mesh removal in patients without edema resolution ( 2 - 3 weeks after insertion to allow for granulation and fixation of viscera ) and formation of the planned ventral hernia with either split thickness skin graft or full thickness skin closure over the viscera ; and stage III , definitive reconstruction after 6 - 12 months ( allowing for inflammation and dense adhesion resolution ) by using the modified components separation technique .
VisceraNo subtypeFascia
Our management scheme for giant abdominal wall defects consists of 3 stages : stage I , absorbable mesh insertion for temporary closure ( if edema quickly resolves within 3 - 5 days , the mesh is gradually pleated , allowing delayed fascial closure ) ; stage II , absorbable mesh removal in patients without edema resolution ( 2 - 3 weeks after insertion to allow for granulation and fixation of viscera ) and formation of the planned ventral hernia with either split thickness skin graft or full thickness skin closure over the viscera ; and stage III , definitive reconstruction after 6 - 12 months ( allowing for inflammation and dense adhesion resolution ) by using the modified components separation technique .
Our management scheme for giant abdominal wall defects consists of 3 stages : stage I , absorbable mesh insertion for temporary closure ( if edema quickly resolves within 3 - 5 days , the mesh is gradually pleated , allowing delayed fascial closure ) ; stage II , absorbable mesh removal in patients without edema resolution ( 2 - 3 weeks after insertion to allow for granulation and fixation of viscera ) and formation of the planned ventral hernia with either split thickness skin graft or full thickness skin closure over the viscera ; and stage III , definitive reconstruction after 6 - 12 months ( allowing for inflammation and dense adhesion resolution ) by using the modified components separation technique .
Our management scheme for giant abdominal wall defects consists of 3 stages : stage I , absorbable mesh insertion for temporary closure ( if edema quickly resolves within 3 - 5 days , the mesh is gradually pleated , allowing delayed fascial closure ) ; stage II , absorbable mesh removal in patients without edema resolution ( 2 - 3 weeks after insertion to allow for granulation and fixation of viscera ) and formation of the planned ventral hernia with either split thickness skin graft or full thickness skin closure over the viscera ; and stage III , definitive reconstruction after 6 - 12 months ( allowing for inflammation and dense adhesion resolution ) by using the modified components separation technique .
All Topics