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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