Dynamic retention: a technique for closure of the complex abdomen in critically ill patients
- PMID: 11735859
- DOI: 10.1001/archsurg.136.12.1359
Dynamic retention: a technique for closure of the complex abdomen in critically ill patients
Abstract
Management of the open abdomen in the setting of massive visceral swelling or extensive intra-abdominal abscess may pose an extremely difficult surgical scenario. We herein describe the technique and results of dynamic-retention sutures used in 13 patients with abdominal catastrophes after trauma, vascular reconstruction, tumor extirpation, and intra-abdominal infection. Three of these patients died during their acute care hospitalization. The remaining 10 patients were discharged to home with no resultant fistulas and 1 recurrent hernia (10%). Dynamic-retention sutures provide a useful technique for the closure of the complex surgical abdomen. We observed a low complication rate. In properly selected patients, this technique avoids the use of mesh or additional surgical procedures such as skin grafting or plastic surgical reconstruction of the abdominal wall.
Comment in
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Temporary abdominal coverage in critically ill patients.Arch Surg. 2002 Sep;137(9):1078. doi: 10.1001/archsurg.137.9.1078. Arch Surg. 2002. PMID: 12215166 No abstract available.
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Optimal closure of the complex abdomen.Arch Surg. 2003 Apr;138(4):458. doi: 10.1001/archsurg.138.4.458-b. Arch Surg. 2003. PMID: 12686534 No abstract available.
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