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    The ‘sandwich technique’ in the management of the open abdomen
    British journal of surgery (1986)
    M ScheinR SaadiaJ R JamiesonG Decker
    97
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    7
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    10
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    Abstract:
    Abstract A management technique of the open abdominal wound is described. It consists of a ‘sandwich’ composed of a Marlex mesh and an Op-Site wound dressing with interposition of suction tubes. Such a technique prevents evisceration, protects the skin, decreases evaporation, allows accurate fluid replacement, facilitates nursing and adds to the patient's comfort.
    Keywords:
    Evisceration (ophthalmology)
    Abdominal wound
    Topics:
    Abdominal Surgery and Complications
    Body Contouring and Surgery
    Muscle and Compartmental Disorders
    Abdominal Wound Closure With a Continuous Monofilament Polypropylene Suture
    Archives of Surgery (1983)
    Charles D. Knight
    • We report our experience with 1,000 consecutive abdominal wound closures using continuous monofilament polypropylene (Prolene) sutures. Wound dehiscence occurred in four patients (0.4%), and incisional hernia occurred in seven patients (0.7%). The incidence of persistent suture sinus was less than 1%. A comparison of these results with the reported data showed that this method was at least equal to other types of wound closure. While the polypropylene suture is more difficult to handle than traditional sutures, it is probably the preferred suture for contaminated and dirty wounds. It has eliminated the need for retention sutures in our practice, and its use as a continuous, running closure has offered the advantage over the usual interrupted technique of being simpler, faster, and more cost effective. Sepsis has continued to be the greatest cause of failure of abdominal wounds to heal. (Arch Surg1983;118:1305-1308)
    Prolene
    Abdominal wound
    Wound dehiscence
    Incisional Hernia
    Wound Closure
    Citations (29)
    Postoperative evisceration
    The American Journal of Surgery (1941)
    M.Leo Bobrow
    Evisceration (ophthalmology)
    Abdominal wound
    Citations (0)
    Abdominal Wound Dehiscence and Evisceration.
    Gabriëlle H. van Ramshorst
    Evisceration (ophthalmology)
    Abdominal wound
    Wound dehiscence
    Citations (1)
    Incisions
    Surgery (2021)
    Umut Sarpel
    Evisceration (ophthalmology)
    Abdominal wound
    Wound dehiscence
    Wound Closure
    Incisional Hernia
    Citations (1)
    Operations for Infected Abdominal Wound Dehiscence and Necrotizing Fasciitis of the Abdominal Wall
    Springer eBooks (2002)
    Carol E. H. Scott‐Conner
    Evisceration (ophthalmology)
    Abdominal wound
    Wound dehiscence
    Citations (0)
    [Anesthesia for abdominal wound dehiscence and evisceration].
    PubMed (1985)
    Ryo TanakaT GendaSohtaro MiyoshiSachiko Uchinuma
    Evisceration (ophthalmology)
    Abdominal wound
    Abdomen surgery
    Citations (0)
    Use of Synthetic Absorbable Sutures for Abdominal and Chest Wound Closure
    Archives of Surgery (1978)
    Dwight H. Murray
    • The advent of synthetic collagen sutures (polyglycolic acid and polyglactin 910) has provided a new dimension in surgical suturing. However, surgeons in general have not yet taken full advantage of the potential that this new material offers. Associated evisceration and wound dehiscence rates as well as the incidence rate of wound infection were assessed since these represent standards by which the suture material can be evaluated. In an entire series of 650 cases, there has been one case of wound dehiscence with evisceration. The incidence of infection has been less than 1%, which is comparable to previous experience with interrupted, nonabsorbable sutures. The time required for closure using the new material has been approximately one third of that associated with the use of conventional interrupted closure sutures. This implies a substantial cost reduction for the patient. As a result of this experience, the synthetic absorbable sutures seem to represent the material of choice for routine abdominal or chest wound closure. (Arch Surg113:477-480, 1978)
    Evisceration (ophthalmology)
    Abdominal wound
    Wound dehiscence
    Wound Closure
    Absorbable suture
    Wound infection
    Citations (18)
    [Experimental study and clinical use of a new material in severe postoperative evisceration of the abdomen (author's transl)].
    PubMed (1979)
    Levasseur JcE LehnP Rignier
    Evisceration (ophthalmology)
    Citations (21)
    Abdominal wound dehiscence and evisceration: contributing factors and improved mortality.
    PubMed (1980)
    HaddadMacon Wl th
    a retrospective review of 18,120 abdominal procedures produced 70 patients who developed abdominal wound dehiscence and/or evisceration. Our mortality rate of 5.5% was considerably lower than the previously reported high mortality rates in patients with these complications. Surprisingly, the mortality rate of patients with evisceration was the same as those patients with dehiscence only. The predominant factor association with wound dehiscence in our group of patients was exogenous obesity.
    Evisceration (ophthalmology)
    Abdominal wound
    Wound dehiscence
    Citations (28)
    Bedside placement of polyglycolic acid mesh: a novel treatment of uncomplicated abdominal wound dehiscence.
    PubMed (1996)
    Akella Chendrasekhar
    Uncomplicated abdominal wound dehiscence is a common problem in critically ill patients undergoing general surgical procedures. In the past, a majority of these patients have been subjected to an emergency return to the operating room for wound closure to prevent evisceration. In this article, we present two successful cases of a novel bedside approach using local anesthesia and polyglycolic acid mesh in uncomplicated abdominal dehiscence to prevent evisceration.
    Evisceration (ophthalmology)
    Abdominal wound
    Wound dehiscence
    Stab wound
    Citations (3)