Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns

Intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel...

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Main Authors: R Raja Shanmugakrishnan, Charles Yuen Yung Loh, Abhijeet Wakure, Naguib El-Muttardi
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2018-09-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_75_18
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author R Raja Shanmugakrishnan
Charles Yuen Yung Loh
Abhijeet Wakure
Naguib El-Muttardi
author_facet R Raja Shanmugakrishnan
Charles Yuen Yung Loh
Abhijeet Wakure
Naguib El-Muttardi
author_sort R Raja Shanmugakrishnan
collection DOAJ
description Intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel oedema. We describe our technique of closing the open abdomen in such situations with a combination of serial abdominal wall closure with a layered mesh and the Rives-Stoppa component separation technique.
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spelling doaj.art-26fedaf60df7475bb8185369023251d42022-12-22T01:25:26ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2018-09-01510332432610.4103/ijps.IJPS_75_18Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burnsR Raja Shanmugakrishnan0Charles Yuen Yung Loh1Abhijeet Wakure2Naguib El-Muttardi3St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UKSt Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UKSt Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UKSt Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UKIntra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel oedema. We describe our technique of closing the open abdomen in such situations with a combination of serial abdominal wall closure with a layered mesh and the Rives-Stoppa component separation technique.http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_75_18abdominal compartment syndromeabdominal hypertensionbogotaburn abdomencomponent separationgoretex meshintra-abdominal hypertensionmesh repairopen abdomenpostburnrives-stoppaptfe meshpolytetrafluoroethylene
spellingShingle R Raja Shanmugakrishnan
Charles Yuen Yung Loh
Abhijeet Wakure
Naguib El-Muttardi
Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns
Indian Journal of Plastic Surgery
abdominal compartment syndrome
abdominal hypertension
bogota
burn abdomen
component separation
goretex mesh
intra-abdominal hypertension
mesh repair
open abdomen
postburn
rives-stoppa
ptfe mesh
polytetrafluoroethylene
title Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns
title_full Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns
title_fullStr Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns
title_full_unstemmed Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns
title_short Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns
title_sort serial abdominal closure with gore tex mesh and rives stoppa for an open abdomen secondary to intra abdominal hypertension in burns
topic abdominal compartment syndrome
abdominal hypertension
bogota
burn abdomen
component separation
goretex mesh
intra-abdominal hypertension
mesh repair
open abdomen
postburn
rives-stoppa
ptfe mesh
polytetrafluoroethylene
url http://www.thieme-connect.de/DOI/DOI?10.4103/ijps.IJPS_75_18
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