Prevention of Incisional Hernias after Open Abdomen Treatment
Management of a patient with an open abdomen is difficult, and the primary closure of the fascial edges is essential to obtain the best patient outcome, regardless of the initial etiology of the open abdomen. The use of temporary abdominal closure devices is nowadays the gold standard to have the hi...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2018-02-01
|
| Series: | Frontiers in Surgery |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/article/10.3389/fsurg.2018.00011/full |
| _version_ | 1811266368402620416 |
|---|---|
| author | Frederik Berrevoet |
| author_facet | Frederik Berrevoet |
| author_sort | Frederik Berrevoet |
| collection | DOAJ |
| description | Management of a patient with an open abdomen is difficult, and the primary closure of the fascial edges is essential to obtain the best patient outcome, regardless of the initial etiology of the open abdomen. The use of temporary abdominal closure devices is nowadays the gold standard to have the highest closure rates with mesh-mediated fascial traction as the proposed standard of care. However, the incidence of incisional hernias, although much more controlled than when leaving an abdomen open, is high and reaches up to 65%. As shown for other high-risk patient subgroups, such as obese patients, patients with an abdominal aneurysm, and patients with former -ostomy sites, the prevention of incisional hernias might be key to further optimize patient outcomes after open abdomen treatment. In this overview, current available modalities to decrease the incidence of incisional hernia are discussed. Most of these preventive options have been shown effective in giant ventral hernia repair and might work effectively in this patient cohort with open abdomen as well. |
| first_indexed | 2024-04-12T20:41:52Z |
| format | Article |
| id | doaj.art-a8c591821321400b9c3fbf97646f4765 |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-04-12T20:41:52Z |
| publishDate | 2018-02-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-a8c591821321400b9c3fbf97646f47652022-12-22T03:17:24ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2018-02-01510.3389/fsurg.2018.00011345434Prevention of Incisional Hernias after Open Abdomen TreatmentFrederik Berrevoet0Ghent University Hospital, Department of General and HPB Surgery and Liver Transplantation, Ghent, BelgiumManagement of a patient with an open abdomen is difficult, and the primary closure of the fascial edges is essential to obtain the best patient outcome, regardless of the initial etiology of the open abdomen. The use of temporary abdominal closure devices is nowadays the gold standard to have the highest closure rates with mesh-mediated fascial traction as the proposed standard of care. However, the incidence of incisional hernias, although much more controlled than when leaving an abdomen open, is high and reaches up to 65%. As shown for other high-risk patient subgroups, such as obese patients, patients with an abdominal aneurysm, and patients with former -ostomy sites, the prevention of incisional hernias might be key to further optimize patient outcomes after open abdomen treatment. In this overview, current available modalities to decrease the incidence of incisional hernia are discussed. Most of these preventive options have been shown effective in giant ventral hernia repair and might work effectively in this patient cohort with open abdomen as well.http://journal.frontiersin.org/article/10.3389/fsurg.2018.00011/fullopen abdomenpreventionnegative pressure therapybotulinum toxincomponent separation |
| spellingShingle | Frederik Berrevoet Prevention of Incisional Hernias after Open Abdomen Treatment Frontiers in Surgery open abdomen prevention negative pressure therapy botulinum toxin component separation |
| title | Prevention of Incisional Hernias after Open Abdomen Treatment |
| title_full | Prevention of Incisional Hernias after Open Abdomen Treatment |
| title_fullStr | Prevention of Incisional Hernias after Open Abdomen Treatment |
| title_full_unstemmed | Prevention of Incisional Hernias after Open Abdomen Treatment |
| title_short | Prevention of Incisional Hernias after Open Abdomen Treatment |
| title_sort | prevention of incisional hernias after open abdomen treatment |
| topic | open abdomen prevention negative pressure therapy botulinum toxin component separation |
| url | http://journal.frontiersin.org/article/10.3389/fsurg.2018.00011/full |
| work_keys_str_mv | AT frederikberrevoet preventionofincisionalherniasafteropenabdomentreatment |