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How to do mesh-mediated fascial traction for delayed primary closure of the open abdomen.

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The open abdomen can be a life-saving resuscitative manoeuvre in patients with catastrophic abdominal pathologies, however, can lead to the need for delayed primary closure. The most recent guidelines released… Click to show full abstract

The open abdomen can be a life-saving resuscitative manoeuvre in patients with catastrophic abdominal pathologies, however, can lead to the need for delayed primary closure. The most recent guidelines released from the European Hernia Society and World Society for Emergency Surgery both suggest mesh-mediated fascial traction in conjunction with negative pressure wound therapy as the preferred method in this situation. We present a detailed 'how to do it' on this technique.

Keywords: fascial traction; delayed primary; mesh mediated; open abdomen; primary closure; mediated fascial

Journal Title: ANZ journal of surgery
Year Published: 2023

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