Serial abdominal closure technique (the "SAC" procedure): a novel method for delayed closure of the abdominal wall.
Am Surg
; 69(2): 102-5, 2003 Feb.
Article
en En
| MEDLINE
| ID: mdl-12641347
ABSTRACT
Abdominal compartment syndrome may occur after any elective or emergent abdominal operations that are complicated by postoperative hemorrhage or in the trauma patient who has massive fluid replacement for intra-abdominal bleeding. Once the abdomen is decompressed the type of closure varies as much as the surgeon performing the procedure. We have devised a simple, reproducible, inexpensive, and safe method to close the abdomen at the bedside. Serial abdominal closure (SAC) was performed on three patients 45, 54, and 14 years of age who had developed abdominal compartment syndrome secondary to an upper gastrointestinal bleed requiring massive transfusion, a tear of the superior mesenteric vein, and a grade 4 liver laceration respectively, all necessitating abdominal decompression. All three patients had their abdominal wounds closed at the bedside over the course of several days with our SAC technique. Subsequent postoperative course was uneventful and the abdominal wall was free of defects at one-year follow-up. SAC is an efficient, inexpensive, and easily reproducible method of managing the open abdomen. The use of SAC prevented abdominal closure-related complications such as enteric fistula and hernia formation in our three patients.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Dehiscencia de la Herida Operatoria
/
Cicatrización de Heridas
/
Técnicas de Sutura
/
Síndromes Compartimentales
/
Hemorragia Gastrointestinal
Límite:
Adolescent
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Am Surg
Año:
2003
Tipo del documento:
Article
País de afiliación:
Estados Unidos