ABDOMINAL MEDICINE

Types of Closure

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on Types of Closure

Fig. 4.1 Barker Vac Pack Scissors are used to create fenestrations in the 10 × 10 drape to allow for outward egress of fluids. The Steri-Drape is then placed circumferentially under the…

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The Biologics Explosion Era

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on The Biologics Explosion Era

Product Source Cross-linked Sterilization method Alloderm (Lifecell, Branchburg, NJ) Human dermis No Ionic Allomax (Davol, Warwick, RI) Human dermis No E beam Flex HD (Ethicon, Sommerville, NJ) Human dermis No…

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Damage Control

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on Damage Control

Fig. 2.1 Damage control for intra-abdominal sepsis from acute bowel ischemia Fig. 2.2 a Abdomen left open secondary to significant bowel edema. b , c Necrotizing soft tissue infection of…

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Abdominal Compartment Syndrome

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on Abdominal Compartment Syndrome

Definition 1 IAP is the steady-state pressure concealed within the abdominal cavity Definition 2 APP = MAP − IAP Definition 3 FG = GFP − PTP = MAP − 2 * IAP Definition 4 IAP should be expressed in mm Hg and measured at end-expiration…

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Complications

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on Complications

Fig. 8.1 Enteroatmospheric fistula treated with tube cannulation in a patient with an open abdomen Deep exposed fistulae evolve into a complex pathology that lead to tremendous metabolic drain from…

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Historical Perspective

Jun 13, 2017 by in ABDOMINAL MEDICINE Comments Off on Historical Perspective

Fig. 1.1 Artist rendition of towel-clip, skin-only closure. (Used with permission K. Dangleben) Esmarch Closure Originally described by Cohn et al. in 1995 [7] , an Esmarch bandage (latex or latex…

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