Eur J Plast Surg (2012) 35:629–631 DOI 10.1007/s00238-011-0619-5 CASE REPORT Delayed primary closure of the abdominal wall after decompressive laparotomy using a dynamic fascial closure system: a case report Pim J. C. Schout & Corinne Schouten & Michel M. P. J. Reijnen & Karel A. Kolkman Received: 22 September 2010 /Accepted: 23 June 2011 /Published online: 11 August 2011 Springer-Verlag 2011 Introduction hernia is 10–14% [4, 5]. Also, the use of a split-thickness skin graft will lead to a cosmetically inferior outcome and Various clinical circumstances may render primary closure of lack of sensation in the treated area. the abdominal wall following a laparotomy impossible or Today, a number of different techniques have been sometimes undesirable. Firstly, in patients with peritonitis described to achieve delayed primary closure of peritoneum, edema occurring in the bowel wall, the intra-abdominal fascia, and the overlying skin; this helps to prevent the volume is thereby increased, making primary closure of the occurrence of a ventral hernia . A newly developed abdomen impossible. Secondly, in patients with extensive technique is the dynamic fascial closure system. With this abdominal injuries due to high-energy trauma, a “damage- system, elastomers are inserted through all layers of the control”
European Journal of Plastic Surgery – Springer Journals
Published: Aug 1, 2012
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