Making a virtue of necessity: managing the open abdomen

De Costa, Alan (2006) Making a virtue of necessity: managing the open abdomen. ANZ Journal of Surgery, 76 (5). pp. 356-363.

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Background: The open abdomen, or laparostomy, is becoming increasingly used in the management of critically ill surgical patients.

Methods: The published work on laparostomy is reviewed, in the light of personal experience, with particular attention to the history and pathophysiology associated with laparostomy.

Results and Conclusion: The combination of an inert plastic sheet in contact with the viscera, and the application of subatmospheric pressure on the wound, is an effective combination to maximize the prospects of delayed primary wound closure while minimizing the chance of fistula and ventral hernia.

Item ID: 3750
Item Type: Article (Research - C1)
ISSN: 1445-2197
Keywords: fistula; mesh; ventral hernia; laparostomy; open abdomen
Date Deposited: 23 Nov 2009 23:03
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110323 Surgery @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920118 Surgical Methods and Procedures @ 100%
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