Front Transplant
December 2024
Department of Surgery, University of Colorado Denver Anschutz Medical Campus, Aurora, CO, United States.
Introduction: As research advances in vascularized composite allotransplantation (VCA), large animal models are essential for translational studies related to immune rejection and graft survival. However, procurement of large flaps can cause significant defects, complicating wound closure and increasing postoperative risks. This study details the surgical techniques and outcomes of autologous vertical rectus abdominis myocutaneous (VRAM) flap transplantation and neck flap isolation with induced ischemia in a swine model.
View Article and Find Full Text PDFSurg Technol Int
December 2024
Department of Gastrointestinal and Oncological Surgery, VieCuri Medical Center, Venlo, Netherlands.
Introduction: Abdominal wall closure in postoperative burst abdomen remains challenging. Different techniques vary between definitive closure and temporary closure. The aim of this study was to examine the short-term outcomes for different closure techniques.
View Article and Find Full Text PDFJ Surg Res
November 2024
Division of Complex Abdominal Wall Surgery, Department of Surgery, Henares University Hospital, Madrid, Spain; Complex Abdominal Wall Research Group from Francisco de Vitoria University, Madrid, Spain.
Introduction: Abdominal compartment syndrome (ACS) poses a significant clinical challenge, with high morbidity and mortality rates. Conventional treatment via decompressive laparotomy with open abdomen and temporary closure presents significant drawbacks. This experimental study evaluates the efficacy of open minimally invasive sequential fasciotomy in managing simulated ACS in a porcine model.
View Article and Find Full Text PDFWorld J Surg
October 2024
Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, USA.
Introduction: Open abdomen (OA) therapy is used in the management of patients who require surgery for severe abdominal conditions. This meta-analysis aims to evaluate the VAWCM technique regarding short and long-term outcomes.
Methods: PubMed, Embase, and Cochrane Central were systematically searched for studies that analyzed VAWCM therapy in OA.
Surgery
October 2024
Department of Gastrointestinal and Hepatic Diseases, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark; Emergency Surgery Research Group (EMERGE) Copenhagen, Copenhagen University Hospital Herlev and Gentofte, Herlev, Denmark.
Adv Wound Care (New Rochelle)
August 2024
Hospital Dr. Sótero del Río, Santiago, Chile.
The laparotomy is a common surgical procedure with a wide range of indications. Ideally, once the goals of surgery were achieved, the incision edges could then be approximated and the abdomen primarily closed. However, in some circumstances, it may be impossible to achieve primary closure, and instead the abdomen is intentionally left open.
View Article and Find Full Text PDFJ Surg Oncol
September 2024
Faculdade de Medicina da Universidade de São Paulo, Instituto do Câncer do Estado de São Paulo, São Paulo, São Paulo, Brazil.
World J Surg
February 2024
Division of Traumatology, Emergency Surgery, and Surgical Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
J Surg Res
June 2024
Department of Surgery, Section of Pediatric Surgery, C.S. Mott Children's Hospital, University of Michigan, Ann Arbor, Michigan.
J Surg Res
April 2024
Department of General Surgery, Hospital Militar Central, Bogotá DC, Colombia; Universidad Militar Nueva Granada School of Medicine, Bogotá DC, Colombia.
Animal Model Exp Med
August 2024
School of Medicine, Southeast University, Nanjing, China.
BJS Open
September 2023
Department of Surgery, Westchester Medical Center, Valhalla, New York, USA.
Background: The open abdomen is an innovation that greatly improved surgical understanding of damage control, temporary abdominal closure, staged abdominal reconstruction, viscera and enteric fistula care, and abdominal wall reconstruction. This article provides an evidence-informed, expert, comprehensive narrative review of the open abdomen in trauma, acute care, and vascular and endovascular surgery.
Methods: A group of 12 international trauma, acute care, and vascular and endovascular surgery experts were invited to review current literature and important concepts surrounding the open abdomen.
Surg Technol Int
September 2023
Department of Preventive Medicine, School of Medicine, University of Rochester, Rochester, New York.
Introduction: Open abdomen (OA) management post damage control laparotomy (DCL) is common in complex abdominal trauma and intra-abdominal catastrophe (IAC). Use of polyglactin 910 mesh (VICRYL™, Johnson & Johnson, New Brunswick, New Jersey) to cover the intra-abdominal contents and wound vacuum-assisted closure (VAC) is current practice in the management of temporary abdominal closure (TAC). This may have complications and requires two to three weeks for granulations to be ready for skin grafting.
View Article and Find Full Text PDFSurgery
October 2023
Cincinnati Research in Outcomes and Safety in Surgery Research Group, Department of Surgery, University of Cincinnati College of Medicine, OH; Division of Transplantation, Department of Surgery, University of Cincinnati College of Medicine, OH. Electronic address:
J Trauma Acute Care Surg
November 2023
From the Department of Surgery, University of Louisville School of Medicine, Louisville, KY.
Ann Surg Treat Res
April 2023
Division of Trauma Surgery, Department of Surgery, Dankook University College of Medicine, Cheonan, Korea.
World J Surg
June 2023
Department of Surgery, Greys Hospital, Pietermaritzburg, South Africa.
Vasc Endovascular Surg
October 2023
Emory University School of Medicine, Atlanta, GA, USA.
World J Surg
June 2023
School of Medicine, General Surgery Department, Erzincan Binali Yildirim University, Erzincan, Turkey.
World J Surg
January 2023
General Emergency and Trauma Surgery, Pisa University Hospital, Via Paradisia,1, 56124, Pisa, Italy.
Trauma Surg Acute Care Open
October 2022
Department of Surgery, Texas Tech University Health Sciences Center, Lubbock, Texas, USA.
J Obstet Gynaecol Res
July 2022
Department of Gynecologic Oncology, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.
Objective: To evaluate the open abdomen technique (laparostomy) used in complications of major gynecological oncology surgery.
Methods: We analyzed retrospectively the surgical database of all patients who had undergone major open surgery by the same gynecologic oncologist over a 5-year period. All patients who had had open abdomen procedure were identified; demographic data and indications of primary surgery, temporary abdominal closure procedure details, fascia closure and morbidity, mortality rates were evaluated.
Exp Clin Transplant
May 2022
From the Baskent University, Department of General Surgery, Division of Transplantation, Ankara, Turkey.
Objectives: In conditions such as large-for-size syndrome, postreperfusion hepatic edema, and intestinal edema, primary closure of the abdominal wall can cause respiratory complications and thrombosis of vascular structures. Here, we compared results of primary abdominal closure versus a temporary patch closure technique (the Bogota bag technique) in pediatric liver transplant recipients.
Materials And Methods: We performed primary abdominal closure in 295 recipients.
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