BACKGROUND The use of progressive tension sutures has been shown to be comparable to the use of abdominal drains in abdominoplasty. However, the use of barbed progressive tension sutures (B-PTSs) in deep inferior epigastric artery perforator (DIEP) flap donor-site closure has not been investigated. METHODS A retrospective chart review was performed on patients with DIEP flap reconstruction in...

INTRODUCTION Abdominal wall defects with exposed bowels present a significant risk of iatrogenic and spontaneous intestinal fistulation, and early wound closure is warranted. We describe our experience with the use of biological mesh (BM) for facilitation of secondary abdominal wall closure in patients with abdominal wall defects after severe complications, including surgically inaccessible ent...

INTRODUCTION Heterotopic mesenteric ossification is an extremely rare condition, which often follows trauma and is frequently symptomatic. To date, there are no reports in the literature of abdominal compartment syndrome occurring after surgical resection of mesenteric calcification. The present report documents an unusual case of compartment syndrome complicating resection of extensive mesente...

UNLABELLED Surgical complications have a significant impact on morbidity and mortality following intestinal transplantation (ITx). Birmingham Children's Hospital commenced intestinal transplantation in 1993 and the following surgical strategies evolved: (a) pretransplant abdominal tissue expanders, 1998; (b) combined en-bloc reduced liver and intestinal transplantation (CRLITx), 1998; (c) stage...

Contribution of decompressive laparotomy within the framework of the complex therapeutic algorithm of abdominal compartment syndrome (ACS) is cited with an extremely heterogeneous percentage in terms of survival. The purpose of this study was to present new data regarding contribution of each therapeutic step toward decreasing the mortality of this syndrome.This is a longitudinal prospective st...

PURPOSE To assess whether a combined treatment of low-frequency (25 kHz) ultrasonic-debridement systems followed by vacuum-assisted wound closure (VAC) produces a better outcome in deep sternal wound infections (SWIs) compared to that of VAC alone. METHODS We evaluated 45 consecutive patients (25 males) between January 2013 and December 2016, in whom deep SWI was treated with a combination of...

BACKGROUND We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique. METHODS In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or...

objective: to consider incisional endometrioma (ie) as a differential diagnosis of abdominal disorders and to recommend different treatments as preventive measures. incisional endometrioma (ie), as a rare condition, usually develops in surgical scar of cesarean section or hysterectomy. materials and methods: we performed a retrospective review of 12 cases at department of surgery, shahrekord un...

background the optimal management of hemodynamically stable asymptomatic patients with anterior abdominal stab wounds (aasws) remains controversial. the goal is to identify and treat injuries in a safe cost-effective manner. common evaluation strategies are local wound exploration (lwe), diagnostic peritoneal lavage (dpl), serial clinical assessment (scas) and computed tomography (ct) imaging. ...

INTRODUCTION The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. MATERIAL AND METHODS Patients of our clinic (n=58)...