References

Sibaja P, Sanchez A, Villegas G Management of the open abdomen using negative pressure wound therapy with instillation in severe abdominal sepsis: a review of 48 cases in Hospital Mexico, Costa Rica. Int J Surg Case Rep. 2017; 30:26-30 https://doi.org/10.1016/J.IJSCR.2016.11.024

Zaccara A, Zama M, Trucchi A Bipedicled skin flaps for reconstruction of the abdominal wall in newborn omphalocele. J Pediatr Surg. 2003; 38:(4)613-615 https://doi.org/10.1053/JPSU.2003.50133

Sullivan SR, Engrav LH, Anaya DA Bilateral anterior abdominal bipedicle flap with permanent prosthesis for the massive abdominal skin-grafted hernia. Am J Surg. 2007; 193:(5)651-655 https://doi.org/10.1016/J.AMJSURG.2006.12.029

Kääriäinen M, Kuokkanen H. Primary closure of the abdominal wall after “open abdomen” situation. Scand J Surg. 2013; 102:(1)20-24 https://doi.org/10.1177/145749691310200105

Al Zarouni M, Trelles MA, Leclère FM. Abdominal wall reconstruction with Two-step Technique (TST): a prospective study in 20 patients. Int Wound J. 2015; 12:(2)173-178 https://doi.org/10.1111/IWJ.12075

Padar M, Blaser AR, Talving P Abdominal compartment syndrome: Improving outcomes with a multidisciplinary approach: a narrative review. J Multidiscip Healthc. 2019; 12:1061-1074 https://doi.org/10.2147/JMDH.S205608

de Waele J, Desender L, de Laet I Abdominal decompression for abdominal compartment syndrome in critically ill patients: a retrospective study. Acta Clinica Belgica. 2010; 65:(6)399-403 https://doi.org/10.1179/ACB.2010.65.6.005

López-Cano M, García-Alamino JM, Antoniou SA EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen. Hernia. 2018; 22:(6)921-939 https://doi.org/10.1007/S10029-018-1818-9

Temporary abdominal closure techniques. 2021. http://www.ncbi.nlm.nih.gov/pubmed/33232048 (accessed 17 October 2021)

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Parmeggiani D, Gubitosi A, Ruggiero R The abdominal compartment syndrome: review, experience report and description of an innovative biological mesh application. Updates Surg. 2011; 63:(4)271-275 https://doi.org/10.1007/S13304-011-0083-6

Huang Q, Li J, Lau WY. Techniques for abdominal wall closure after damage control laparotomy: from temporary abdominal closure to early/delayed fascial closure: a review. Gastroenterology Research and Practice. 2016; 2016 https://doi.org/10.1155/2016/2073260

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Shestak KC, Edington HJ, Johnson RR. The separation of anatomic components technique for the reconstruction of massive midline abdominal wall defects: anatomy, surgical technique, applications, and limitations revisited. Plast Reconstr Surg. 2000; 105:(2)731-738 https://doi.org/10.1097/00006534-200002000-00041

Luo RB, Xu YA, Zhong HM, Zhang YF. Local skin flap with vacuum-seal drainage to facilitate healing of ACS. Genetics and Molecular Research. 2015; 14:(2)2953-2957 https://doi.org/10.4238/2015.APRIL.10.3

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Yasui G, Furukawa H, Warabi T Combined therapy of NPWT and bipedicled flap as an alternative approach for giant abdominal wall defect with significant visceral edema: report of a case. Case Reports in Plastic Surgery and Hand Surgery. 2015; 2:(2)25-28 https://doi.org/10.3109/23320885.2014.982654

Cirocchi R, Birindelli A, Biffl WL What is the effectiveness of the negative pressure wound therapy (NPWT) in patients treated with open abdomen technique? A systematic review and meta-analysis. J Trauma Acute Care Surg. 2016; 81:(3)575-584 https://doi.org/10.1097/TA.0000000000001126

Fitzgerald JE, Gupta S, Masterson S, Sigurdsson HH. Laparostomy management using the ABThera open abdomen negative pressure therapy system in a grade IV open abdomen secondary to acute pancreatitis. Int Wound J. 2013; 10:(2)138-144 https://doi.org/10.1111/J.1742481X.2012.00953.X

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Wound dressings
Clinical/pre-clinical research
Negative pressure wound therapy

The challenges of abdominal wall defects: algorithmic integration of a placenta-derived allograft

02 February 2022
Practice
02 February 2022
Volume 6 · Issue 1

Tackling the task of reconstructing a large abdominal wall defect, also known as an ‘open abdomen’, is a growing challenge for health professionals. This is partly due to new advances in damage control surgery,1 and partly to the growing list of contributing aetiologies, including but not limited to trauma, tumours, haemorrhage, congenital defects and infection.2,3,4,5 A common aetiology is a decompressive laparotomy, typically performed for abdominal compartment syndrome (ACS). This results in a situation where a large abdominal wall defect is essential to the survival of the patient and early primary closure is contraindicated. The prevalence of ACS in the intensive care unit (ICU) ranges from 2–6%, with reported mortality rates of 68–87.5% correlated with severity.6 A retrospective analysis of length of stay for ACS in the ICU was 23±16 days. Approximately 1-in-3 patients in this evaluation had fascial closure during the primary stay. The majority returned for a planned ventral hernia repair at a later date.7

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