BACKGROUND Only recently has the important role of abdominal compartment syndrome (ACS) been recognized as a contributing factor to the multiple organ failure commonly seen in severe acute pancreatitis (SAP). Decompressive laparostomy for ACS is a life-saving procedure usually performed through a midline incision followed by a negative pressure wound dressing. High risk of intestinal fistulas a...

The exstrophy-epispadias-complex (EEC) is a rare congenital malformation with spectrum of abdominal-pelvic fusion abnormalities, an incidence 1/46,000 LB. Recurrence 1 in100 & the male-to-female ratio 2.3:1. Patients rarely may present in adulthood due to lack knowledge or financial constraints; it increases risk bladder carcinoma mostly adenocarcinoma squamous carcinoma, chronic inflammati...

 Abstract Background: The cosmetic result of the surgical scar has long been considered by surgeons as an important factor for patient satisfaction. On the other hand, there has been an old teaching that perfect closure of contaminated wounds increases the rate of infection. We decided to look into this matter and see if this is a fact or a myth. Methods: In this prospective randomized study co...

The experimental cystotomy was performed on 24 mongrel dogs, divided in to four groups i.e. group A, B, C and D comprising 6 dogs in each group. In group-A, cystotomy wound was closed in one layer by simple continues suturing pattern, in group-B, closure was made in two layers by simple continues and lembert suturing pattern and in group-C, cystomy incision was closed by one layer simple contin...

Postoperative intra-abdominal hypertension (IAH) is a frequent occurrence in critically ill patients operated on for severe abdominal trauma, secondary peritonitis or ruptured abdominal aortic aneurysm. IAH may progress to abdominal compartment syndrome (ACS) with new-onset organ dysfunction. Early recognition of IAH and interventions that prevent the development of ACS may preserve vital organ...

OBJECTIVE to evaluate the outcome of abdominal wall integrity of both techniques. METHODS a retrospective study was carried out at the Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo, identifying the patients undergoing temporary abdominal closure (TAC) from January 2005 to December 2011. Data were collected through the review of clinical charts. Inclusion criteria wer...

592 Once the decision to close a wound has been made, the clinician must select the closure technique best suited for the location and configuration of the wound. The most commonly used techniques include use of tape, tissue adhesive, metal staples, and sutures. All traumatic wounds should be cleaned, and wounds containing devitalized tissue should be débrided before closure (see Chapter 34, Pr...

results pain scores, analgesic requirements assessed at 24 hours and operation duration were significantly lower in the non-closure group as compared to the closure group. febrile conditions and changes in hemoglobin levels were similar in both groups. conclusions non-closure of both visceral and the parietal peritoneum when performing a cs produces a significant reduction in pain, fewer analge...

UNLABELLED INTRODUCTION The use of Negative Pressure Wound Therapy (NPWT) for temporary abdominal closure of open abdomen (OA) wounds is widely accepted. Published outcomes vary according to the specific nature and the aetiology that resulted in an OA. The aim of this study was to evaluate the effectiveness of a new NPWT system specifically used OA resulting from abdominal trauma. METHODS ...