Copyright ©2013 Baishideng Publishing Group Co.
World J Gastrointest Surg. Dec 27, 2013; 5(12): 314-320
Published online Dec 27, 2013. doi: 10.4240/wjgs.v5.i12.314
Table 1 Groups and therapeutic options in complete intentional and unintentional acute postoperative open abdominal wall
Clinical/therapeuticscenarioIntestinal fistulaNon-adherentbowel loopsFree innerabdominal wallWindow2-3 wkWindow> 2-3 wkTherapeutic option
1NoYesYesYes Early definitive closure-Fascia to fascia closure. Continuous slowly absorbable monofilament suture, 4:1 rule
2NoPartiallyPartiallyYes Definitive early progressive closure-Vacuum-assisted wound closure and mesh traction or dynamic wound closure systems
3NoNo “Frozen abdomen”No “Frozen abdomen”-Yes Delayed closureSkin cover or after granulation skin graft “Planned” incisional hernia repair