Abdominal wall closure with ePTFE--Goretex Dual Mesh after detensive laparotomy for abdominal compartment syndrome.
BACKGROUND
Detensive laparotomy is the first choice treatment for abdominal compartment syndrome (ACS). Tension free closure of the abdominal wall with the use of prosthesis is a broadly diffused technique; the polypropylene and the ePTFE (expanded polytetrafluoroethylene--Goretex Dual Mesh) are the most commonly used materials.


METHODS
We report our experience on five patients affected by ACS submitted to detensive laparotomy and positioning of a wide Goretex Dual Mesh prosthesis.


RESULTS
In our initial experience ACS has been treated with success through detensive laparotomy and there were no complications related to the use of Goretex.


CONCLUSIONS
Even though limited, our initial clinical experience is favorable to the use of Goretex Dual Mesh as first choice material for reconstruction of the abdominal wall after detensive laparotomy for ACS.
Gui
Daniele
D
Clinica Chirurgica, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, Roma. daniele.g@iol.it
Spada
Pier Luigi
PL
Di Mugno
Massimo
M
Sermoneta
Daniel
D
Runfola
Matteo
M
Rossi
Simone
S
D034841:Abdominal Cavity; D034861:Abdominal Wall / Q000601:surgery*; D000368:Aged; D003161:Compartment Syndromes / Q000601:surgery*; D019299:Decompression, Surgical; D006801:Humans; D008297:Male; D008875:Middle Aged; D011138:Polytetrafluoroethylene; D011312:Pressure; D013526:Surgical Mesh
D011138:Polytetrafluoroethylene