The traditional surgical methods typically used to repair the abdominal wall defect present in cloacal exstrophy, omphalocele, and gastroschisis during the neonatal period include definitive primary muscle, fascia, and skin closure, primary skin closure only with late ventral hernia repair, and a staged closure using a silo. The method chosen usually depends on the extent of visceral edema, the...

In a randomized trial of wound closure in 512 abdominal wounds, wounds were closed with either reinforced Steristrip skin closures or interrupted silk sutures. Comparisons were made of wound pain and discomfort, wound infection, discharge, redness, width, and skin reaction. The causes of peeling of the tapes were assessed. The results showed that tapes were significantly more comfortable and th...

BACKGROUND AND OBJECTIVES The Exstrophy Complex (EC) is a serious malformation of midline abdominal wall. Wide pubis prevents approximating the lateralized rectus muscle and leads to dehiscence and fistula formation. Our aim was to recommend an easier method for abdominal wall closure in the Bladder Exstrophy (BE) complex repair. MATERIALS AND METHODS From November 2007 to April 2010, we had ...

Background: Midline incision provides excellent access to the abdominal cavity. However, wound infection following a laparotomy can increase morbidity as well burden on health care system. Wound prognosis be influenced by type of incisions, suture material and method closure. This study aimed assess outcome midline closure using two different techniques closure.Methods: was prospective observat...

Closure of massive abdominal wounds can be a challenging surgical problem. Presented here is a novel technique for reconstitution of the abdominal wall after severe internal injuries complicated by sepsis required a prolonged period of open abdominal dressing changes. By using an innovative and effective progressive tension band system, the fascial edges could be reapproximated over time allowi...

OBJECTIVES Incisional hernias are common complications of midline abdominal closure. The 'Hughes Repair' combines a standard mass closure with a series of horizontal and two vertical mattress sutures within a single suture. There is evidence to suggest this technique is as effective as mesh repair for the operative management of incisional hernias; however, no trials have compared Hughes repair...

closure of fascia after transverse rectus abdominis musculocutaneous (tram) flap has usually been performed with direct closure or synthetic material. the dermal autograft was removed from zone iv of flap was an alternative to reinforce fascial closure. the dermal autograft was used in 34 patients after tram harvest for breast, head and neck reconstruction and prolene mesh was used in 42 other ...

The management of abdominal wall repair continues to present a challenging problem, especially in the repair of major defects. Many abdominal wall defects can be repaired by primary closure; however, if the defect is large and there is a tension on the closure of the wound, the use of prosthetic materials becomes indispensable. Many studies have been performed with various materials and implant...

The main result of this article is a refinement of the well-known subgroup separability results of Hall and Scott for free and surface groups. We show that for any finitely generated subgroup, there is a finite dimensional representation of the free or surface group that separates the subgroup in the induced Zariski topology. As a corollary, we establish a polynomial upper bound on the size of ...

BACKGROUND Abdominal wounds following surgery for typhoid perforation are classified as dirty, with an infection rate of over 40%. To date, the optimal method for closure of these wounds remains controversial. Delayed primary closure which was conventionally recommended as standard practice, is now considered to be of no value in preventing surgical site infection (SSI). This study evaluates th...