Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report
Abstract Background Surgery for severe peritonitis often entails difficult wound closure and may require open abdominal management due to gut edema and/or concern of abdominal compartment syndrome. Negative pressure wound therapy (NPWT) is known to have good outcomes for wound closure after surgery...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2018-05-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0453-0 |
| _version_ | 1818385275756216320 |
|---|---|
| author | Hideki Kogo Jun Hagiwara Shiei Kin Eiji Uchida |
| author_facet | Hideki Kogo Jun Hagiwara Shiei Kin Eiji Uchida |
| author_sort | Hideki Kogo |
| collection | DOAJ |
| description | Abstract Background Surgery for severe peritonitis often entails difficult wound closure and may require open abdominal management due to gut edema and/or concern of abdominal compartment syndrome. Negative pressure wound therapy (NPWT) is known to have good outcomes for wound closure after surgery for severe peritonitis. NPWT with continuous mesh fascial traction may result in even better outcomes, especially for fascial closure. Case presentation An 81-year-old man was hospitalized for abdominal pain. At admission, computed tomography (CT) demonstrated multiple liver metastases and a tumor perforating the sigmoid colon. Acute peritonitis due to perforated sigmoid colon cancer was diagnosed, and emergency peritonitis surgery and Hartmann’s operation were performed. However, at the end of the operation, the surgical abdominal wound could not be closed due to gut edema and concern of abdominal compartment syndrome. Thus, the abdominal wound was left open and NPWT was performed in the primary operation. In the second and subsequent operations, NPWT with mesh fascial traction was performed. The wound was ultimately closed in the fifth operation, which took place 9 days after the primary operation. Conclusions Treatment of severe peritonitis requires that gastroenterological surgeons learn some form of open abdominal management. This case suggests that NPWT with fascial mesh traction is a suitable solution. Furthermore, it does not require any special materials, and surgeons will find it easy to perform. In sum, NPWT with fascial mesh traction may be the preferred method of open abdominal management over other techniques currently available. |
| first_indexed | 2024-12-14T03:35:34Z |
| format | Article |
| id | doaj.art-d98e1aeef6f54a0f8aaa47d14c3a7901 |
| institution | Directory Open Access Journal |
| issn | 2198-7793 |
| language | English |
| last_indexed | 2024-12-14T03:35:34Z |
| publishDate | 2018-05-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj.art-d98e1aeef6f54a0f8aaa47d14c3a79012022-12-21T23:18:38ZengSpringerOpenSurgical Case Reports2198-77932018-05-01411610.1186/s40792-018-0453-0Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case reportHideki Kogo0Jun Hagiwara1Shiei Kin2Eiji Uchida3Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Graduate School of MedicineDepartment Emergency and Critical Care Medicine, Nippon Medical SchoolDepartment Emergency and Critical Care Medicine, Nippon Medical SchoolDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Graduate School of MedicineAbstract Background Surgery for severe peritonitis often entails difficult wound closure and may require open abdominal management due to gut edema and/or concern of abdominal compartment syndrome. Negative pressure wound therapy (NPWT) is known to have good outcomes for wound closure after surgery for severe peritonitis. NPWT with continuous mesh fascial traction may result in even better outcomes, especially for fascial closure. Case presentation An 81-year-old man was hospitalized for abdominal pain. At admission, computed tomography (CT) demonstrated multiple liver metastases and a tumor perforating the sigmoid colon. Acute peritonitis due to perforated sigmoid colon cancer was diagnosed, and emergency peritonitis surgery and Hartmann’s operation were performed. However, at the end of the operation, the surgical abdominal wound could not be closed due to gut edema and concern of abdominal compartment syndrome. Thus, the abdominal wound was left open and NPWT was performed in the primary operation. In the second and subsequent operations, NPWT with mesh fascial traction was performed. The wound was ultimately closed in the fifth operation, which took place 9 days after the primary operation. Conclusions Treatment of severe peritonitis requires that gastroenterological surgeons learn some form of open abdominal management. This case suggests that NPWT with fascial mesh traction is a suitable solution. Furthermore, it does not require any special materials, and surgeons will find it easy to perform. In sum, NPWT with fascial mesh traction may be the preferred method of open abdominal management over other techniques currently available.http://link.springer.com/article/10.1186/s40792-018-0453-0Negative pressure wound therapyMesh tractionSevere peritonitis |
| spellingShingle | Hideki Kogo Jun Hagiwara Shiei Kin Eiji Uchida Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report Surgical Case Reports Negative pressure wound therapy Mesh traction Severe peritonitis |
| title | Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report |
| title_full | Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report |
| title_fullStr | Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report |
| title_full_unstemmed | Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report |
| title_short | Successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction: a case report |
| title_sort | successful abdominal wound closure for treatment of severe peritonitis using negative pressure wound therapy with continuous mesh fascial traction a case report |
| topic | Negative pressure wound therapy Mesh traction Severe peritonitis |
| url | http://link.springer.com/article/10.1186/s40792-018-0453-0 |
| work_keys_str_mv | AT hidekikogo successfulabdominalwoundclosurefortreatmentofsevereperitonitisusingnegativepressurewoundtherapywithcontinuousmeshfascialtractionacasereport AT junhagiwara successfulabdominalwoundclosurefortreatmentofsevereperitonitisusingnegativepressurewoundtherapywithcontinuousmeshfascialtractionacasereport AT shieikin successfulabdominalwoundclosurefortreatmentofsevereperitonitisusingnegativepressurewoundtherapywithcontinuousmeshfascialtractionacasereport AT eijiuchida successfulabdominalwoundclosurefortreatmentofsevereperitonitisusingnegativepressurewoundtherapywithcontinuousmeshfascialtractionacasereport |