Inverting bilateral figure-of-eight suture of the rectus sheath after burst abdomen with destruction of the linea alba: a new technique
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Inverting bilateral figure-of-eight suture of the rectus sheath after burst abdomen with destruction of the linea alba: a new technique. / Dietz, U A; Debus, E-S; Thiede, A; Kuhfuss, I.
in: J PLAST RECONSTR AES, Jahrgang 60, Nr. 4, 2007, S. 389-392.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Inverting bilateral figure-of-eight suture of the rectus sheath after burst abdomen with destruction of the linea alba: a new technique
AU - Dietz, U A
AU - Debus, E-S
AU - Thiede, A
AU - Kuhfuss, I
PY - 2007
Y1 - 2007
N2 - The authors report a new technique for secondary abdominal closure after burst abdomen as illustrated by the case of a patient who developed a perforated sigmoid diverticulitis following septic polyarthritis. Sigmoid resection was followed on the sixth day postoperative by a burst abdomen. Upon abdominal revision the burst abdomen was found to be caused by necrotic destruction of the linea alba. Abdominal wall closure was achieved using the novel technique of inverting bilateral interrupted figure-of-eight suture of the anterior and posterior rectus sheaths in combination with relieving lateral incisions and mesh implantation in the sublay technique. It remains for future studies to show whether this technique can reduce the high incisional hernia rate following secondary abdominal wall closure.
AB - The authors report a new technique for secondary abdominal closure after burst abdomen as illustrated by the case of a patient who developed a perforated sigmoid diverticulitis following septic polyarthritis. Sigmoid resection was followed on the sixth day postoperative by a burst abdomen. Upon abdominal revision the burst abdomen was found to be caused by necrotic destruction of the linea alba. Abdominal wall closure was achieved using the novel technique of inverting bilateral interrupted figure-of-eight suture of the anterior and posterior rectus sheaths in combination with relieving lateral incisions and mesh implantation in the sublay technique. It remains for future studies to show whether this technique can reduce the high incisional hernia rate following secondary abdominal wall closure.
KW - Abdominal Wall/surgery
KW - Diverticulitis/surgery
KW - Humans
KW - Male
KW - Middle Aged
KW - Rectus Abdominis/surgery
KW - Sigmoid Diseases/surgery
KW - Surgical Wound Dehiscence/etiology
KW - Suture Techniques/standards
KW - Treatment Outcome
U2 - 10.1016/j.bjps.2005.11.044
DO - 10.1016/j.bjps.2005.11.044
M3 - SCORING: Journal article
C2 - 17349594
VL - 60
SP - 389
EP - 392
JO - J PLAST RECONSTR AES
JF - J PLAST RECONSTR AES
SN - 1748-6815
IS - 4
ER -