Journal of Trauma and Injury
- Volume 25 Issue 4
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- Pages.172-177
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- 2012
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- 2799-4317(pISSN)
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- 2287-1683(eISSN)
Abdominal Wall Closure Using Artificial Mesh for Patients with an Open Abdomen
복부개방(Open abdomen) 환자에서 인공막(Artificial Mesh)를 이용한 근막봉합술
- Cha, Sung Whan (Department of Surgery, Yonsei University College of Medicine) ;
- Shim, Hong Jin (Department of Surgery, Yonsei University College of Medicine) ;
- Jang, Ji Young (Department of Surgery, Yonsei University College of Medicine) ;
- Lee, Jae Gil (Department of Surgery, Yonsei University College of Medicine)
- Received : 2012.10.08
- Accepted : 2012.10.26
- Published : 2012.12.31
Abstract
Purpose: After damage control surgery, abdominal wall closure may be impossible due to increased intra-abdominal pressure (IAP), and primary closure may induce abdominal compartment syndrome. The purpose of this study was to investigate changes in the IAP and the feasibility of abdominal wall closure using artificial mesh. Methods: From July 2010 to July 2011, 8 patients with intra-abdominal hypertension underwent abdominal wall closure using artificial mesh. Medical data such as demographics, diagnosis, operation, IAP, postoperative complications, mortality and length of hospital stays were collected and reviewed, retrospectively. One patient was excluded because of inadequate measurement of the IAP. Results: Seven patients, 4 males and 3 females, were enrolled, and the mean age was 54.1 years old. Causes of operations were six traumatic abdominal injuries and one intra-abdominal infection. The IAP was reduced from