Indian Journal of Plastic Surgery
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 CASE REPORT
Year : 2018  |  Volume : 51  |  Issue : 3  |  Page : 324--326

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


St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, CM1 7ET, UK

Correspondence Address:
Dr. Charles Yuen Yung Loh
St Andrew's Centre for Burns and Plastic Surgery, Broomfield Hospital, Court Road, Chelmsford, Essex, CM1 7ET
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijps.IJPS_75_18

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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.






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