Bauchwanddefekte durch postoperative Infektionen / Defects of the Abdominal Wall by Postoperative Infection

A New Technique in Closure of Burst Abdomen: TI, TIE and TIES Incisions

“…The rich vascularisation of the abdominal wall, the number and topography of the perforating arteries and the existence of hypodermal, subdermal and subpapillary anastomosis allow the surgeon to perform extensive cutaneoaponeurotic mobilisation 9. There are several ways to temporarily cover the abdominal wall, but there is no ingenious solution 10…”

“…9 There are several ways to temporarily cover the abdominal wall, but there is no ingenious solution. 10 In the late-presenting burst abdomen, primarily closure of the abdominal musculoaponeurotic layers is impossible without seriously impairing the excursion of the diaphragm and ventilation as well as putting enormous pressure on venous drainage of the intra-abdominal gastrointestinal tract, with a high possibility of reburst and mortality. 7 This is due to retraction of the musculoaponeurotic layer laterally and loss of a length along such layer as a result of infective necrosis of the medial edge in addition to the surgical debridement needed during secondary surgical closure.…”