Closure of a contained open abdomen using a bipedicled myofascial oblique rectus abdominis flap technique.
A contained open abdomen is commonly used during damage control laparotomy and consists of the temporary coverage of the abdomen for protection of the viscera and reduction of intra-abdominal pressure. Definitive closure of a contained open abdomen is technically difficult due to the inability to obtain primary fascial suture. The insertion of a prosthetic mesh can be complicated with enterocutaneous fistula, and other definitive closure techniques need several surgical procedures. We describe a low cost technique that allows definitive closure of large abdominal wall defects avoiding the risk of intestinal fistula.
Gutarra
Fabian
F
Department of Vascular Surgery, Mariano and Luciano of the Vega Hospital, Libertador 710, PC 1744, Moreno, Buenos Aires, Argentina.
Asensio
Javier Rodriguez
JR
Kohan
Gustavo
G
Quarin
Carlos
C
Petrelli
Laura
L
Quesada
Bernabe Matias
BM
D000007:Abdominal Injuries / Q000175:diagnosis / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007412:Intestinal Fistula / Q000517:prevention & control*; D007430:Intraoperative Care / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D017568:Rectus Abdominis / Q000601:surgery / Q000637:transplantation*; D018570:Risk Assessment; D013524:Surgical Flaps / Q000098:blood supply*; D013526:Surgical Mesh; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult