Early repair of open abdomen with a tailored two-component mesh and conditioning vacuum packing: a safe alternative to the planned giant ventral hernia - Takeaways - MDSpire

Early repair of open abdomen with a tailored two-component mesh and conditioning vacuum packing: a safe alternative to the planned giant ventral hernia

  • By

  • U. A. Dietz

  • C. Wichelmann

  • C. Wunder

  • J. Kauczok

  • L. Spor

  • A. Strauß

  • R. Wildenauer

  • C. Jurowich

  • C. T. Germer

  • May 23, 2012

  • 0 min

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  • 1

    The open abdomen technique is widely used for abdominal trauma and secondary peritonitis, with 94% of German clinics employing it.

  • 2

    A novel staged therapy using a tailored two-component mesh and vacuum packing allows for early patient mobilization and reduces complications.

  • 3

    The staged therapy consists of four stages: damage control, mesh fixation, vacuum conditioning, and skin closure over the granulated mesh.

  • 4

    The two-component mesh includes a polyglycolic acid layer for fixation and a polypropylene layer for coverage, tailored to fit the abdominal defect.

  • 5

    The approach aims to prevent adhesions, control infection, and facilitate anatomical closure of the abdominal wall in complex cases.

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