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CC BY-NC-ND 4.0 · Indian J Plast Surg 2018; 51(03): 324-326
DOI: 10.4103/ijps.IJPS_75_18
Case Report
Association of Plastic Surgeons of India

Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns

R Raja Shanmugakrishnan
St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK
,
Charles Yuen Yung Loh
St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK
,
Abhijeet Wakure
St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK
,
Naguib El-Muttardi
St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK
› Author Affiliations
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Publication History

Publication Date:
26 July 2019 (online)

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ABSTRACT

Intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel oedema. We describe our technique of closing the open abdomen in such situations with a combination of serial abdominal wall closure with a layered mesh and the Rives-Stoppa component separation technique.

KEY WORDS

Abdominal compartment syndrome - abdominal hypertension - bogota - burn abdomen - component separation - goretex mesh - Intra-abdominal hypertension - mesh repair - open abdomen - postburn - Rives-Stoppa - PTFE mesh - polytetrafluoroethylene
 

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