Vol - 28, Issue - 09
About the Journal
[This article belongs to Volume - 28, Issue - 09]
International Medical Journal
Journal ID : IMJ-08-10-2021-986
Total View : 390

Abstract : In an era with ever increasing incidence of abdominal trauma especially in developing countries where resources for effective resuscitation and surgical management are limited, Damage Control Surgery has emerged as an approach to minimize mortality and buy time to surgeons to effectively deal with the problem at hand. One issue that arises with Damage Control Laparotomies is management of Open Abdomen. Definitive fascial closure at first surgery may be associated with wound dehiscence, surgical site infection etc and may not be feasible if second look laparotomy is planned. Numerous methods of temporary closure have been described including Opsite sandwich [3], [4] Bogota bag [2] Negative pressure therapy and skin-only closure, but there is no single definitive method. This prospective Observational study was conducted in Dr. D. Y. Patil Medical College, Hospital and Research centre located in Pimpri, Pune between May 2020 to June 2021. Our study has managed to shed light on the outcomes of temporary and primary fascial closure in our unit and has helped us to improve our practice in this regard. Skin-only closure, in carefully selected patients, is a feasible alternative to other temporary abdominal closure techniques, especially in a resource-constrained setting where the likes of wound VAC or ABTHERA facilities are not an option.

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