Reinforced silicone elastomer sheeting, an improved method of temporary abdominal closure in damage control laparotomy

Foy, Hugh M.; Nathens, Avery B.; Maser, Benjamin; Mathur, Sanjeev Kumar; Jurkovich, Gregory J.

doi:10.1016/s0002-9610(03)00059-x

Cited by 47 publications

(24 citation statements)

References 8 publications

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“…23,24,[28][29][30][31][32][33][34][35][36] Although algorithms have been proposed for the management of IAH and abdominal compartment syndrome after open RAAA repair, none have been proposed in the setting of eEVAR. In this article, we provide simple, safe clinical decision trees for OAT after successful endovascular sealing of RAAA as well as for choosing the optimal type of OAT according to the clinical presentation during the initial intervention or a secondary procedure.…”

Section: Discussionmentioning

confidence: 99%

Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms

Mayer

Rančić

Meier

et al. 2009

Journal of Vascular Surgery

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The use of standardized novel techniques and a treatment protocol and algorithm for OAT after eEVAR for RAAA were feasible and safe. It decreased the workload of the medical and nursing staff, enhanced patient comfort because the need for dressing changes was minimized, and likely contributed to lower overall mortality in RAAA patients. Delayed direct fascial closure was possible in most patients.

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Section: Discussionmentioning

confidence: 99%

Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms

Mayer

Rančić

Meier

et al. 2009

Journal of Vascular Surgery

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“…These include the 'Bogota Bag', towel-clip skin only closure, 12 synthetic mesh, both absorbable 2,8,13 and non-absorbable, 10 the 'sandwich' dressing, 14 various 'vacuum pack' derivatives [15][16][17] and silicone elastomer sheeting. 18 The variety of techniques described suggests that each may have limitations in use.…”

mentioning

confidence: 99%

“…We, therefore, advocate laparostomy as a potentially life-saving prophylactic measure in patients at high risk of ACS particularly as the mortality associated with decompressive laparotomy for established ACS is substantial (25-71%). 18 In 10 cases, delayed primary fascial closure was achieved during the index admission. None of these required relaxing incisions or skin grafting.…”

mentioning

confidence: 99%

Modified Opsite® Sandwich for Temporary Abdominal Closure: A Non-Traumatic Experience

Wilde

Loudon

2007

annals

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INTRODUCTION Laparostomy techniques have advanced since the advent of damage control surgery for the critically injured patient. Numerous methods of temporary abdominal closure (TAC) are described in the literature with most reports focusing on trauma. We describe a modified technique for TAC and report its use in a series of critically ill non-trauma patients.PATIENTS AND METHODS Eleven patients under the care of one consultant underwent TAC over a 36-month period. A standardised technique was used in all cases and this is described. Severity of illness at the time of the first laparotomy was assessed using the Portsmouth variant of the Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (P-POSSUM).RESULTS Nineteen TACs were performed in 11 patients with a variety of serious surgical conditions. In-hospital mortality was zero despite seven of the patients having an individual P-POSSUM predicted mortality in excess of 50%. The laparostomy dressing proved simple in construction, facilitated nursing care and was well-tolerated in the critical care environment. All patients underwent definitive fascial closure during the index admission.CONCLUSIONS Laparostomy is a useful technique outwith the context of trauma. We have demonstrated the utility of the modified Opsite ® sandwich vacuum pack for TAC in a series of critically ill patients with a universally favourable outcome. This small study suggests that selective use of TAC may reduce surgical mortality. KEYWORDS Laparostomy -Temporary abdominal closure (TAC) -Abdominal compartment syndrome (ACS)

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“…3,5 We used an intestinal isolation bag because it was readily available in the operating room, which proved useful for short-term decompression and allowed observation of the intestines.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Compartment Syndrome Causing Respiratory Failure During Surgery for a Ruptured Descending Thoracic Aneurysm: Report of a Case

et al. 2005

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Elevated intra-abdominal pressure causing widespread organ dysfunction is known as abdominal compartment syndrome (ACS). The subject of our case report is a 64-year-old man who underwent repair of a ruptured descending thoracic aortic aneurysm (TAA) under deep hypothermic circulatory arrest. During the operation, decompression laparotomy was required to relieve intra-abdominal hypertension causing respiratory failure, before the patient could be weaned off cardiopulmonary bypass. We report this case to alert surgeons to the fact that ACS can occur during surgery on the thoracic aorta, especially if massive fluid resuscitation is required and venous drainage for extracorporeal circulation is less than optimal. Early recognition and prompt decompression by laparotomy is essential to save the life of the patient.

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Reinforced silicone elastomer sheeting, an improved method of temporary abdominal closure in damage control laparotomy

Cited by 47 publications

References 8 publications

Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms

Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms

Modified Opsite® Sandwich for Temporary Abdominal Closure: A Non-Traumatic Experience

Abdominal Compartment Syndrome Causing Respiratory Failure During Surgery for a Ruptured Descending Thoracic Aneurysm: Report of a Case

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