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Simple and safe technique for closure of midline abdominal wound dehiscence

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Abstract

Purpose

The aim of this study was to assess an alternative technique for closure of burst abdomen.

Method

After reduction of the viscera and toilet of abdominal cavity with debridement of any necrotic tissues in the skin or fascia, the skin was undermined to expose the aponeurosis all-around the defect edges for at least 5–6 cm. The greater omentum is spread in the floor of the wound and fixed to the inner side of the defect. A piece of polypropylene mesh designed according to the size and shape of the defect and sutured to its external edge continuously. Another larger mesh is placed to cover the smaller one and extend over the aponeurosis exceeding the defect edges by at least 5–6 cm and fixed to it.

Results

Six males and five females were included. Mean age was 49.3 year. Mean follow-up period was 17.8 months. Wound infection occurred in 5 patients (45.4%). Mean hospital stay was 18.7 days. No patients developed abdominal compartment syndrome, recurrence or intestinal fistula. No mortality was reported. Two cases developed mild local bulge.

Conclusion

This technique provides a simple, safe and effective alternative in the treatment of burst abdomen.

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Authors and Affiliations

  1. Gastrointestinal Surgery Unit, General Surgery Department, Tanta University Hospital, Tanta, Egypt

    M. H. Abo-Ryia

Authors
  1. M. H. Abo-Ryia
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Correspondence to M. H. Abo-Ryia.

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Conflict of interest

MA declares no conflict of interest.

Ethical approval

All procedures performed in the study were in accordance with the ethical standards of the Faculty of Medicine Tanta University Research committee and with 1964 Helsinki declaration and its later amendments and comparable ethical standards.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Abo-Ryia, M.H. Simple and safe technique for closure of midline abdominal wound dehiscence. Hernia 21, 795–798 (2017). https://doi.org/10.1007/s10029-017-1589-8

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  • DOI: https://doi.org/10.1007/s10029-017-1589-8

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