Beta
179586

Component separation technique for closure of burst abdomen

Article

Last updated: 28 Dec 2024

Subjects

-

Tags

-

Abstract

Background: Burst abdomenis a continuing problem for thegeneral surgeon as theincidence of such complication may reach 3% with a mortality rate exceeding 25%. Methods: Component  separation  of all layers of anterior  abdominal  wall would give  an extra length on each side towards medial advancement. 20 patients, 12 men and 8 women aged 35-65 {mean, 48.6) years, with burst abdomen after major gastrointestinal and hepatobiliary surgery whose abdomen could not be   closed primarily  were managed  using this technique. Long term follow up of patients was done for development of complications. Results:   One  patient  died  on  the  fourth postoperative  day  from pulmonary  embolism {mortality  5%),  and  2  patients  developed  subincisional  abscesses  (10.5%).  Skin necrosis occurred in 1 patient  (5%). No single case of reburst occurred  Only one patient showed  few symptoms of abdominal compartment  syndrome. The mean hospital stay was 18.5 days. Long term follow up showed only one case ofincisional hernia (5.5%) in a patient with biliary fistula. Conclusion: The component separation technique is a suitable, straightforward and tension free method   with a comparable  mortality  and morbidity  to other conventional  methods  for closure of burst abdomen.

DOI

10.21608/asjs.2014.179586

Keywords

component separation, Burst Abdomen, abdominal closure

Authors

First Name

Ashraf

Last Name

Goda

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Zagazig University.

Email

-

City

-

Orcid

-

First Name

Mohamed

Last Name

Nasr

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Zagazig University.

Email

-

City

-

Orcid

-

First Name

Osama H

Last Name

Gharib

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Zagazig University.

Email

-

City

-

Orcid

-

First Name

Mostafa B

Last Name

Mohamed

MiddleName

-

Affiliation

General Surgery Department, Faculty of Medicine, Zagazig University.

Email

-

City

-

Orcid

-

Volume

7

Article Issue

1

Related Issue

25657

Issue Date

2014-01-01

Receive Date

2021-06-23

Publish Date

2014-01-01

Page Start

1

Page End

10

Print ISSN

2090-7249

Online ISSN

3009-7509

Link

https://asjs.journals.ekb.eg/article_179586.html

Detail API

https://asjs.journals.ekb.eg/service?article_code=179586

Order

14

Type

Original Article

Type Code

1,943

Publication Type

Journal

Publication Title

Ain Shams Journal of Surgery

Publication Link

https://asjs.journals.ekb.eg/

MainTitle

Component separation technique for closure of burst abdomen

Details

Type

Article

Created At

23 Jan 2023