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[Planned Ventral Hernia After Open Abdomen Therapy: Complex Incisional Hernia Repair].

Zentralbl Chir

December 2024

Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Bundeswehrzentralkrankenhaus, Koblenz, Deutschland.

A planned ventral hernia after open abdomen therapy is a rare hernia entity because the fascial closure rate has been increased due to established concepts for open abdominal treatment. Nevertheless, fascial closure is not always successful, and a planned ventral hernia has to be treated later. Preoperative optimisation and planning are essential for such challenging abdominal wall repairs.

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In Germany, blast and gunshot injuries are uncommon but complex injury entities. Due to the global political situation, terrorist attacks, accidents, or acts of violence, these injuries are potentially part of the reality of care for every anaesthetist, surgeon, and emergency physician. In principle, this type of injury should be treated in a trauma centre with appropriate expertise, but the knowledge of basic treatment principles is necessary for all practitioners.

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Article Synopsis
  • Traumatic abdominal wall hernia is rare, often linked to high-speed motor vehicle accidents, particularly in kids, and can involve serious injuries like bowel perforation and blunt aortic injury.
  • A 13-year-old boy suffered multiple severe injuries, requiring extensive surgical management including bowel resection and laparostomy, and he underwent a total of 36 procedures.
  • The complexity of his case necessitated a collaborative approach among various specialists, highlighting the challenges of managing such a significant injury and the need for tailored treatment plans.
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Objective: To evaluate the efficacy of negative pressure therapy in patients with peritonitis.

Material And Methods: The study included 127 patients with advanced secondary peritonitis between 2019 and 2022. All patients were divided into 2 groups.

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