Document Detail

Management of the difficult abdominal closure.
MedLine Citation:
PMID:  8456355     Owner:  NLM     Status:  MEDLINE    
Hemorrhagic shock and multiple trunk injuries, especially severe pelvic fracture, may cause massive swelling of intra-abdominal viscera and the abdominal wall, thereby precluding safe, primary abdominal wall closure. Primary closure, under tension in such patients, causes a multitude of problems including respiratory compromise, reduced cardiac output, oliguria, enterocutaneous fistulae, impaired abdominal wall nutrient blood supply, necrotizing fasciitis, evisceration, and death of the patient. Multiple methods have been described to aid the surgeon in circumventing these problems. The authors advocate the abdominal wall pack technique, which has the advantages of ease of implementation and a low rate of wound complications.
J M Saxe; A M Ledgerwood; C E Lucas
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The Surgical clinics of North America     Volume:  73     ISSN:  0039-6109     ISO Abbreviation:  Surg. Clin. North Am.     Publication Date:  1993 Apr 
Date Detail:
Created Date:  1993-04-22     Completed Date:  1993-04-22     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0074243     Medline TA:  Surg Clin North Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  243-51     Citation Subset:  AIM; IM    
Department of General Surgery, Wayne State University School of Medicine, Detroit, Michigan.
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MeSH Terms
Abdominal Injuries / complications,  physiopathology,  surgery*
Abdominal Muscles / injuries,  physiopathology
Edema / etiology,  physiopathology
Shock, Hemorrhagic / complications*
Surgical Mesh*
Wound Healing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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