title: [Tactics and technic of abdominal closure in relaparotomy, abdominal dehiscence and peritonitis].
abstract: In cases of reexploration, abdominal wound dehiscence, and peritonitis closure of the abdomen calls for a flexible technique which can be adapted to local circumstances. Skin and the subcutaneous layer should be left open if contaminated from within the abdomen. If multi-layer closure becomes difficult, one should resort to one-layer closure sparing skin and subcutis. If approximation of wound edges becomes difficult or impossible, open stabilization of the abdomen is advocated, a simple method, applicable everywhere with an acceptable risk.
mesh_terms: D000009:Abdominal Muscles / Q000601:surgery*; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery; D010538:Peritonitis / Q000601:surgery*; D012086:Reoperation; D013529:Surgical Wound Dehiscence / Q000601:surgery*; D013530:Surgical Wound Infection / Q000601:surgery*; D013536:Suture Techniques; D007507:Therapeutic Irrigation; D014945:Wound Healing
vernacular_title: Taktik und Technik des Bauchverschlusses bei Relaparotomie, Platzbauch und Peritonitis.