title: The use of Gore Bio-A in the management of the open abdomen.
abstract: Non-permanent, non-woven options for the closure of an open abdomen have previously been limited to biologics such as Permacol or Strattice. Gore Bio-A is constructed from biocompatible synthetic fibres, the use of which has only been described in the repair of inguinal hernia, hiatal hernia and fistula-in-ano. A 60-year-old male underwent emergency laparotomy, partial gastrectomy and formation of a feeding jejunostomy for a strangulated and perforated intrathoracic hiatus hernia. His abdominal wall subsequently dehisced for which he underwent laparostomy and subsequent early closure with a Gore Bio-A mesh, secured in an onlay manner with 2/0 vicryl. Functional and cosmetic outcomes were satisfactory and the patient was discharged home. The use of Gore Bio-A is a safe, feasible and cost effective alternative to traditional biologics for the closure of a laparostomy, deployment of which is safe within a contaminated field. Further prospective data is needed to clarify its role.
authors: Department of Colorectal,  Royal Bolton Hospital, Bolton,  UK.
authors: Paul Anthony
authors: PA
authors: Sutton
authors: Jonathan Paul
authors: JP
authors: Evans
authors: Sheik
authors: S
authors: Uzair
authors: Joseph V
authors: JV
authors: Varghese
mesh_terms: D034861:Abdominal Wall / Q000601:surgery*; D001672:Biocompatible Materials; D005500:Follow-Up Studies; D046449:Hernia, Abdominal / Q000209:etiology / Q000601:surgery*; D006801:Humans; D007813:Laparotomy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D019736:Prostheses and Implants; D011474:Prosthesis Design; D013526:Surgical Mesh; D013529:Surgical Wound Dehiscence / Q000150:complications / Q000601:surgery*; D014945:Wound Healing
chemical_list: D001672:Biocompatible Materials